ABBY L BLACK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008328

License Status

ACTIVE

Business

First Name

ABBY

Middle

Last Name

BLACK

Business Name

ABBY L BLACK

Original Issue Date

03/20/2021

Effective Date

10/11/2025

Expiration Date

10/31/2027

City

SAINT JOSEPH

State

Zip

49085

Ever Disciplined

LastModifiedDate

10/11/2025