MICHELLE DENISE BROUSSARD Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022816

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

DENISE

Last Name

BROUSSARD

Business Name

MICHELLE DENISE BROUSSARD

Original Issue Date

09/09/2025

Effective Date

09/09/2025

Expiration Date

10/31/2027

City

ELLENWOOD

State

Zip

30294

Ever Disciplined

LastModifiedDate

09/09/2025