CARLY DANIELLE PINE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008956

License Status

ACTIVE

Business

First Name

CARLY

Middle

DANIELLE

Last Name

PINE

Business Name

CARLY DANIELLE PINE

Original Issue Date

11/21/2022

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2026