AMANDA ELIZABETH WAGNER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009275

License Status

ACTIVE

Business

First Name

AMANDA

Middle

ELIZABETH

Last Name

WAGNER

Business Name

AMANDA ELIZABETH WAGNER

Original Issue Date

09/12/2023

Effective Date

08/08/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2025