OLIVIA ROSE WAGNER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006320

License Status

ACTIVE

Business

First Name

OLIVIA

Middle

ROSE

Last Name

WAGNER

Business Name

OLIVIA ROSE WAGNER

Original Issue Date

09/22/2014

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2025