JUSTIN LAWRENCE REVELO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023666

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

LAWRENCE

Last Name

REVELO

Business Name

JUSTIN LAWRENCE REVELO

Original Issue Date

02/27/2026

Effective Date

02/27/2026

Expiration Date

10/31/2027

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

02/28/2026