STACY ANN PAINE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010418

License Status

ACTIVE

Business

First Name

STACY

Middle

ANN

Last Name

PAINE

Business Name

STACY ANN PAINE

Original Issue Date

06/28/2024

Effective Date

11/19/2025

Expiration Date

10/31/2027

City

MADISON

State

Zip

30650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/19/2025