TRACY KISELEWSKI Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000167

License Status

NOT RENEWED

Business

First Name

TRACY

Last Name

KISELEWSKI

Business Name

TRACY KISELEWSKI

Original Issue Date

08/22/1995

Effective Date

10/02/2019

Expiration Date

02/28/2022

City

WALTONVILLE

State

Zip

62894

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/27/2022