MADISON LYNN SHAW Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011595

License Status

ACTIVE

Business

First Name

MADISON

Middle

LYNN

Last Name

SHAW

Business Name

MADISON LYNN SHAW

Original Issue Date

12/30/2024

Effective Date

08/06/2025

Expiration Date

10/31/2027

City

COVINGTON

State

Zip

30014

Ever Disciplined

LastModifiedDate

08/06/2025