CAMILLA AMY MIRKIN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011526

License Status

ACTIVE

Business

First Name

CAMILLA

Middle

AMY

Last Name

MIRKIN

Business Name

CAMILLA AMY MIRKIN

Original Issue Date

12/09/2024

Effective Date

12/22/2025

Expiration Date

10/31/2027

City

PEMBROKE PINES

State

Zip

33029

Ever Disciplined

LastModifiedDate

12/22/2025