ANDREA J WAGNER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011450

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

WAGNER

Business Name

ANDREA J WAGNER

Original Issue Date

11/30/2024

Effective Date

10/23/2025

Expiration Date

10/31/2027

City

WISCONSIN RAPIDS

State

Zip

54494

Ever Disciplined

LastModifiedDate

10/23/2025