SUZANNE MARIE CLARK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164012210

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

MARIE

Last Name

CLARK

Business Name

SUZANNE MARIE CLARK

Original Issue Date

05/19/2025

Effective Date

10/20/2025

Expiration Date

10/31/2027

City

KUNA

State

Zip

83634

Ever Disciplined

LastModifiedDate

10/20/2025