SANDY E. RUSSELL Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023334

License Status

ACTIVE

Business

First Name

SANDY

Middle

Last Name

RUSSELL

Business Name

SANDY E. RUSSELL

Original Issue Date

12/19/2025

Effective Date

12/19/2025

Expiration Date

10/31/2027

City

PROSPECT

State

Zip

06712

Ever Disciplined

LastModifiedDate

12/19/2025