STACIE RENEE KISVER - Dietitian and Nutritionist License in Pennsylvania | # 164011576

STACIE RENEE KISVER

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011576

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

RENEE

Last Name

KISVER

Business Name

STACIE RENEE KISVER

Original Issue Date

12/23/2024

Effective Date

12/23/2024

Expiration Date

10/31/2025

State

PA

Ever Disciplined

N

LastModifiedDate

02/04/2026