MISTY MULLINS CLACKUM Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009408

License Status

ACTIVE

Business

First Name

MISTY

Middle

MULLINS

Last Name

CLACKUM

Business Name

MISTY MULLINS CLACKUM

Original Issue Date

11/13/2023

Effective Date

10/23/2025

Expiration Date

10/31/2027

City

GAINESVILLE

State

Zip

30506

Ever Disciplined

LastModifiedDate

10/23/2025