JOHN MICHAEL BACCINO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007146

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MICHAEL

Last Name

BACCINO

Business Name

JOHN MICHAEL BACCINO

Original Issue Date

07/13/2017

Effective Date

08/03/2017

Expiration Date

10/31/2019

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

01/23/2020