BENJAMIN WALLER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022950

License Status

ACTIVE

Business

First Name

BENJAMIN

Last Name

WALLER

Business Name

BENJAMIN WALLER

Original Issue Date

09/22/2025

Effective Date

09/22/2025

Expiration Date

10/31/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/23/2025