KELLY PETERSEN - Dietitian and Nutritionist License in Idaho | # 164023905

KELLY PETERSEN

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023905

License Status

ACTIVE

Business

N

First Name

KELLY

Last Name

PETERSEN

Business Name

KELLY PETERSEN

Original Issue Date

04/05/2026

Effective Date

04/05/2026

Expiration Date

10/31/2027

State

ID

Ever Disciplined

N

LastModifiedDate

04/06/2026