STEPHANIE ANN WILLARD Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009819

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WILLARD

Business Name

STEPHANIE ANN WILLARD

Original Issue Date

01/25/2024

Effective Date

08/21/2025

Expiration Date

10/31/2027

City

FOUNTAIN

State

Zip

80817

Ever Disciplined

LastModifiedDate

08/21/2025