CAITLIN MARIE BALLIET Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008518

License Status

ACTIVE

Business

First Name

CAITLIN

Middle

MARIE

Last Name

BALLIET

Business Name

CAITLIN MARIE BALLIET

Original Issue Date

09/15/2021

Effective Date

08/07/2025

Expiration Date

10/31/2027

City

ROCKFORD

State

Zip

61103

Ever Disciplined

LastModifiedDate

08/07/2025