CAROLINE JANE BUBULKA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006654

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

JANE

Last Name

BUBULKA

Business Name

CAROLINE JANE BUBULKA

Original Issue Date

11/12/2015

Effective Date

08/23/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/23/2025