ANGELA E MACK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004250

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

MACK

Business Name

ANGELA E MACK

Original Issue Date

12/20/2004

Effective Date

10/25/2025

Expiration Date

10/31/2027

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/25/2025