KELLY BLAKE - Dietitian and Nutritionist License in Utah | # 164023884

KELLY BLAKE

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023884

License Status

ACTIVE

Business

N

First Name

KELLY

Last Name

BLAKE

Business Name

KELLY BLAKE

Original Issue Date

03/31/2026

Effective Date

03/31/2026

Expiration Date

10/31/2027

State

UT

Ever Disciplined

N

LastModifiedDate

04/01/2026