COLLEEN ANNE BORSOM Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006204

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

ANNE

Last Name

BORSOM

Business Name

COLLEEN ANNE BORSOM

Original Issue Date

06/03/2014

Effective Date

10/10/2025

Expiration Date

10/31/2027

City

WOODRIDGE

State

Zip

60517

Ever Disciplined

LastModifiedDate

10/10/2025