THERESA RENEE NICKOLAUS Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011126

License Status

ACTIVE

Business

First Name

THERESA

Middle

RENEE

Last Name

NICKOLAUS

Business Name

THERESA RENEE NICKOLAUS

Original Issue Date

11/04/2024

Effective Date

10/27/2025

Expiration Date

10/31/2027

City

IMPERIAL

State

Zip

63052

Ever Disciplined

LastModifiedDate

10/27/2025