KIMBERLY MARIE ELLIS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011874

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

ELLIS

Business Name

KIMBERLY MARIE ELLIS

Original Issue Date

03/29/2025

Effective Date

03/29/2025

Expiration Date

10/31/2025

City

PORT ST LUCIE

State

Zip

34987

Ever Disciplined

LastModifiedDate

02/04/2026