MARISSA YUKO MADEIRA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008303

License Status

ACTIVE

Business

First Name

MARISSA

Middle

YUKO

Last Name

MADEIRA

Business Name

MARISSA YUKO MADEIRA

Original Issue Date

02/27/2021

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/28/2025