ELLYN LEIGH BALTZ Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010660

License Status

ACTIVE

Business

First Name

ELLYN

Middle

LEIGH

Last Name

BALTZ

Business Name

ELLYN LEIGH BALTZ

Original Issue Date

07/12/2024

Effective Date

11/10/2025

Expiration Date

10/31/2027

City

GLOUCESTER

State

Zip

01930

Ever Disciplined

LastModifiedDate

11/10/2025