NICOLE WAKE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011644

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

WAKE

Business Name

NICOLE WAKE

Original Issue Date

01/05/2025

Effective Date

10/03/2025

Expiration Date

10/31/2027

City

NORWICH

State

Zip

13815

Ever Disciplined

LastModifiedDate

10/03/2025