ASHLEY LAUREN BROKAW Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022509

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

LAUREN

Last Name

BROKAW

Business Name

ASHLEY LAUREN BROKAW

Original Issue Date

07/18/2025

Effective Date

11/01/2025

Expiration Date

10/31/2027

City

AVON

State

Zip

44011

Ever Disciplined

LastModifiedDate

10/14/2025