FELICIA L FORMAN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011695

License Status

NOT RENEWED

Business

First Name

FELICIA

Middle

Last Name

FORMAN

Business Name

FELICIA L FORMAN

Original Issue Date

01/08/2025

Effective Date

01/08/2025

Expiration Date

10/31/2025

City

PINEHURST

State

Zip

28374

Ever Disciplined

LastModifiedDate

02/04/2026