NICOLE ROSE DESTEFANO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010545

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ROSE

Last Name

DESTEFANO

Business Name

NICOLE ROSE DESTEFANO

Original Issue Date

07/10/2024

Effective Date

07/10/2024

Expiration Date

10/31/2025

City

MIDDLETOWN

State

Zip

10940

Ever Disciplined

LastModifiedDate

02/04/2026