NICOLE MARIE DE WALT Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003952

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

DE WALT

Business Name

NICOLE MARIE DE WALT

Original Issue Date

09/22/2003

Effective Date

10/26/2023

Expiration Date

10/31/2025

City

CHANNAHON

State

Zip

60410

County

GRUNDY

Ever Disciplined

LastModifiedDate

02/04/2026