GOLDA ELLEN EWALT Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001749

License Status

ACTIVE

Business

First Name

GOLDA ELLEN

Last Name

EWALT

Business Name

GOLDA ELLEN EWALT

Original Issue Date

01/09/1996

Effective Date

10/24/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/24/2025