KRISTIN ELIZABETH BLACKWAY Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011008

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

ELIZABETH

Last Name

BLACKWAY

Business Name

KRISTIN ELIZABETH BLACKWAY

Original Issue Date

09/23/2024

Effective Date

08/14/2025

Expiration Date

10/31/2027

City

LINCOLN

State

Zip

19960

Ever Disciplined

LastModifiedDate

08/14/2025