SAMANTHA TAYLOR GOLLUP Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008028

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

TAYLOR

Last Name

GOLLUP

Business Name

SAMANTHA TAYLOR GOLLUP

Original Issue Date

06/04/2020

Effective Date

02/05/2022

Expiration Date

10/31/2023

City

MADISON

State

Zip

53716

Ever Disciplined

LastModifiedDate

01/08/2025