THERESA LEE LONGORIA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003455

License Status

ACTIVE

Business

First Name

THERESA

Middle

LEE

Last Name

LONGORIA

Business Name

THERESA LEE LONGORIA

Original Issue Date

09/28/2000

Effective Date

10/14/2025

Expiration Date

10/31/2027

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2025