ETHAN VINCENT WILSON Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011343

License Status

ACTIVE

Business

First Name

ETHAN

Middle

VINCENT

Last Name

WILSON

Business Name

ETHAN VINCENT WILSON

Original Issue Date

11/20/2024

Effective Date

10/17/2025

Expiration Date

10/31/2027

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

10/17/2025