TAMIKA ANNE FORKNER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009568

License Status

ACTIVE

Business

First Name

TAMIKA

Middle

ANNE

Last Name

FORKNER

Business Name

TAMIKA ANNE FORKNER

Original Issue Date

12/30/2023

Effective Date

10/29/2025

Expiration Date

10/31/2027

City

JACKSON

State

Zip

39209

Ever Disciplined

LastModifiedDate

10/29/2025