STACEY I KALLEM Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004832

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

KALLEM

Business Name

STACEY I KALLEM

Original Issue Date

01/18/2008

Effective Date

10/27/2023

Expiration Date

10/31/2025

City

GREENCASTLE

State

Zip

46135

Ever Disciplined

LastModifiedDate

02/04/2026