PATRICIA BRIDGET LANE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011150

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

BRIDGET

Last Name

LANE

Business Name

PATRICIA BRIDGET LANE

Original Issue Date

11/06/2024

Effective Date

11/06/2024

Expiration Date

10/31/2025

City

PORT ST LUCIE

State

Zip

34952

Ever Disciplined

LastModifiedDate

02/04/2026