ANZOR MODZGVRESCHVILI Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023261

License Status

ACTIVE

Business

First Name

ANZOR

Last Name

MODZGVRESCHVILI

Business Name

ANZOR MODZGVRESCHVILI

Original Issue Date

11/25/2025

Effective Date

11/25/2025

Expiration Date

10/31/2027

City

FARMINGTON HILLS

State

Zip

48336

Ever Disciplined

LastModifiedDate

11/25/2025