License holder summary

Mallory Leigh Pottebaum PA is a Medical Nutrition Therapy - Medical Nutrition Therapist licensed to practice in Nebraska. This licensed professional license is current. The license was granted 06/11/2012 and expired on 09/01/2013.

Nebraska

Board of Licensing

Mallory Leigh Pottebaum PA
Medical Nutrition Therapy - Medical Nutrition Therapist
License number
1043
Date granted
06/11/2012
Date expires
09/01/2013
Class
Medical Nutrition Therapy - Medical Nutrition Therapist
Status
Licensed
Address
licensingnebraska.com
ID 49483881
LAST UPDATED 2026-05-07 03:39:42 UTC

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