IVON CARRILLO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010282

License Status

ACTIVE

Business

First Name

IVON

Last Name

CARRILLO

Business Name

IVON CARRILLO

Original Issue Date

05/13/2024

Effective Date

08/27/2025

Expiration Date

10/31/2027

City

POCATELLO

State

Zip

83202

Ever Disciplined

LastModifiedDate

08/27/2025