DEREK M FIACCO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008953

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

FIACCO

Business Name

DEREK M FIACCO

Original Issue Date

11/17/2022

Effective Date

11/17/2022

Expiration Date

10/31/2023

City

CORNING

State

Zip

14830

Ever Disciplined

LastModifiedDate

01/08/2025