JONATHAN D. W. BAHNSEN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008429

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

D. W.

Last Name

BAHNSEN

Business Name

JONATHAN D. W. BAHNSEN

Original Issue Date

06/24/2021

Effective Date

10/12/2023

Expiration Date

10/31/2025

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2026