ANICK DIESSONGO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009254

License Status

ACTIVE

Business

First Name

ANICK

Last Name

DIESSONGO

Business Name

ANICK DIESSONGO

Original Issue Date

08/18/2023

Effective Date

10/26/2025

Expiration Date

10/31/2027

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2026