AMY JACKSON Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011821

License Status

ACTIVE

Business

First Name

AMY

Last Name

JACKSON

Business Name

AMY JACKSON

Original Issue Date

03/02/2025

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

MYRTLE BEACH

State

Zip

29572

Ever Disciplined

LastModifiedDate

10/17/2025