MIA L BACIGALUPO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009899

License Status

ACTIVE

Business

First Name

MIA

Middle

Last Name

BACIGALUPO

Business Name

MIA L BACIGALUPO

Original Issue Date

02/21/2024

Effective Date

09/03/2025

Expiration Date

10/31/2027

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

09/03/2025