SHANNAN ELIZABETH BERGTHOLDT Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010833

License Status

NOT RENEWED

Business

First Name

SHANNAN

Middle

ELIZABETH

Last Name

BERGTHOLDT

Business Name

SHANNAN ELIZABETH BERGTHOLDT

Original Issue Date

07/26/2024

Effective Date

07/26/2024

Expiration Date

10/31/2025

City

PANAMA CITY

State

Zip

32403

Ever Disciplined

LastModifiedDate

02/04/2026