- 2024-2025: Summer Williams (Georgia)
- 2023-2024: Virginia Hamilton (Kentucky)
- 2022-2023: Melissa Lombardi (North Carolina)
- 2021-2022: Melissa Lombardi (North Carolina)
- 2020-2021: Anita MacMullan (North Carolina)
- 2019-2020: Jessica Badour (Georgia)
- 2018-2019: Matthew Colson (Florida)
- 2017-2018: Courtney Mickiewicz (Virginia)
- 2016-2017: Brenda Morris (Florida)
- 2015-2016: Natalie Adan (Georgia)*
- 2014-2015: Mark Sestak (Alabama)*
- 2013-2014: Mark Reed (Kentucky)
- 2012-2013: Pamela Miles (Virginia)*
- 2011-2012: Charlene Bruce (Mississippi)*
- 2010-2011: Rita Johnson (Florida)
- 2009-2010: Larry Gabriel (North Carolina)
- 2008-2009: Joe Reardon (North Carolina)
- 2007-2008: Emma Singleton (Florida)
- 2006-2007: Guy Delius (Kentucky)
- 2005-2006: Bud Anderson (Virginia)
- 2004-2005: Dr. Joanne Brown (Florida)
- 2003-2004: Dr. Anna Hood (Mississippi)
- 2002-2003: Gayle Lancette (Georgia)
- 2001-2002: Cameron Smoak (Georgia)*
- 2000-2001: Dr. William Brooks (South Carolina)
- 1999-2000: Lydia Strayer (Mississippi)
- 1998-1999: Jimmy Hopper (Tennessee)
- 1997-1998: Donald Howell (North Carolina)
- 1996-1997: Richard (Doug) Saunders (Virginia)*
- 1995-1996: Bill Swiler (Louisiana)
- 1994-1995: Earl Herrmann, Jr (Alabama)
- 1993-1994: Dan Smyly (Florida)*
- 1992-1993: Sander Bellman (Georgia)
- 1991-1992: John Draper (Kentucky)
- 1990-1991: Gladden Brooks (Mississippi)
- 1989-1990: Mary Logan (Tennessee)*
- 1988-1989: Hayward Mayfield (FDA, Tennessee)
- 1987-1988: George Fong (Florida)
- 1986-1987: John McGlamery (North Carolina)
- 1985-1986: Billy Riddle (Georgia)
- 1984-1985: Maurice Kinslow (FDA, Georgia)
- 1983-1984: Donald O’Connell (Virginia)
- 1982-1983: Edsel Moore (Kentucky)*
- 1981-1982: Leonard Blanton (North Carolina)
- 1980-1981: Truluck Kelly (South Carolina)
- 1979-1980: Robert Reeves (Tennessee)
- 1978-1979: Dr. Martha Rhodes (Florida)*
- 1977-1978: Ray Vanhuss (Virginia)*
- 1976-1977: John Kirkpatrick (Alabama)
- 1975-1976: Allen Duncan (Tennessee)
- 1974-1975: Dr. William Y. Cobb (North Carolina)*
- 1973-1974: Ralph M. Magoffin (South Carolina)
- 1972-1973: John M. Jernigan (Georgia)
- 1971-1972: Vincent Giglio (Florida)
- 1970-1971: Shelby Johnson (Kentucky)*
- 1969-1970: E. A. (Red) Childers (Alabama)
- 1968-1969: Joe T. Cardwell (Mississippi)
- 1967-1968: Embry Coalson (Florida)
- 1966-1967: Lowell Woodham (Florida)
- 1965-1966: A. Lee Turner (Virginia)*
- 1964-1965: Raymond Summerlin (Georgia)
- 1963-1964: Charles C. Moore (South Carolina)
- 1962-1963: Leo W. Spath (Louisiana)
- 1961-1962: James M. Doughty, Jr. (Texas)*
- 1960-1961: Doyle C. Golden (Florida)
- 1959-1960: Harry S. Johnson, Jr. (Georgia)
- 1958-1959: H. S. Peckenpaugh (Alabama)
- 1957-1958: Frank B. Ford (Mississippi)
- 1956-1957: Charles A. Mairamon (Louisiana)
- 1955-1956: Ernest W. Constable (North Carolina)*
- 1954-1955: George C. Marsh (Alabama)
- 1953-1954: Eugene H. Holeman (Tennessee)*
- 1952-1953: A. Coke Summers (South Carolina)
- 1951-1952: Vincent E. Stewart (Florida)*
- 1950-1951: Joe F. Lakey (Texas)*
- 1949-1950: J.J. Taylor (Florida)*
*Also served as President of the Association of Food & Drug Officials (AFDO)