CARLY ANN GROETSEMA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004872

License Status

ACTIVE

Business

First Name

CARLY

Middle

ANN

Last Name

GROETSEMA

Business Name

CARLY ANN GROETSEMA

Original Issue Date

04/04/2008

Effective Date

10/15/2025

Expiration Date

10/31/2027

City

WESTERN SPRINGS

State

Zip

60558

Ever Disciplined

LastModifiedDate

10/15/2025