CHRISTINA NICOLE WUDIJONO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006122

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

NICOLE

Last Name

WUDIJONO

Business Name

CHRISTINA NICOLE WUDIJONO

Original Issue Date

01/09/2014

Effective Date

01/09/2014

Expiration Date

10/31/2015

City

BROADLANDS

State

Zip

20148

County

VIRGINIA

Ever Disciplined

LastModifiedDate

12/09/2015