KIMBERLY ANN RUSSO - Dietitian and Nutritionist License in Pennsylvania | # 164012195

KIMBERLY ANN RUSSO

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164012195

License Status

ACTIVE

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

RUSSO

Business Name

KIMBERLY ANN RUSSO

Original Issue Date

05/16/2025

Effective Date

10/22/2025

Expiration Date

10/31/2027

State

PA

Ever Disciplined

N

LastModifiedDate

10/22/2025