MARY GLYNN BAZEMORE RD Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009046

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

GLYNN

Last Name

BAZEMORE

Business Name

MARY GLYNN BAZEMORE RD

Original Issue Date

01/09/2023

Effective Date

08/20/2025

Expiration Date

10/31/2027

City

ATLANTA

State

Zip

30339

Ever Disciplined

LastModifiedDate

02/23/2026