AMANDA R LARREA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009042

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

LARREA

Business Name

AMANDA R LARREA

Original Issue Date

01/09/2023

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

WINFIELD

State

Zip

46307

Ever Disciplined

LastModifiedDate

10/01/2025