KRISTIAN T JOHANSEN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008224

License Status

ACTIVE

Business

First Name

KRISTIAN

Middle

Last Name

JOHANSEN

Business Name

KRISTIAN T JOHANSEN

Original Issue Date

11/30/2020

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2025