PATRICIA A BOMKAMP Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001219

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

BOMKAMP

Business Name

PATRICIA A BOMKAMP

Original Issue Date

12/07/1995

Effective Date

08/19/2023

Expiration Date

10/31/2025

City

SOUTH BEND

State

Zip

46614

Ever Disciplined

LastModifiedDate

02/04/2026