KELLEY SUE BLASA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003082

License Status

ACTIVE

Business

First Name

KELLEY

Middle

SUE

Last Name

BLASA

Business Name

KELLEY SUE BLASA

Original Issue Date

09/01/1998

Effective Date

08/18/2025

Expiration Date

10/31/2027

City

CARROLLTON

State

Zip

62016

Ever Disciplined

LastModifiedDate

08/18/2025