NICOLE STEPHANIE KUMKE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004214

License Status

ACTIVE

Business

First Name

NICOLE

Middle

STEPHANIE

Last Name

KUMKE

Business Name

NICOLE STEPHANIE KUMKE

Original Issue Date

10/07/2004

Effective Date

08/15/2025

Expiration Date

10/31/2027

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

08/15/2025