License holder summary

MARISSA MARIE WICKMAN is a Dietitian-Nutritionist (Licensed Dietitian/Nutritionist) licensed to practice in Pennsylvania. The address on file for MARISSA MARIE WICKMAN is Bellefonte PA 16823. This licensed professional license is current. The license was granted 10/09/2012 and expired on 09/30/2016.

Pennsylvania

Department of State

MARISSA MARIE WICKMAN
Dietitian-Nutritionist (Licensed Dietitian/Nutritionist)
License number
DN004967
Date granted
10/09/2012
Date expires
09/30/2016
Class
Dietitian-Nutritionist (Licensed Dietitian/Nutritionist)
Status
Active
Address
Bellefonte PA 16823
palicensing.org
ID 16679818
LAST UPDATED 2024-02-19 12:41:58 UTC

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