STACIA NICOLE TIETJE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010327

License Status

NOT RENEWED

Business

First Name

STACIA

Middle

NICOLE

Last Name

TIETJE

Business Name

STACIA NICOLE TIETJE

Original Issue Date

06/05/2024

Effective Date

06/05/2024

Expiration Date

10/31/2025

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

02/04/2026