KEELEY C STEVENS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007895

License Status

NOT RENEWED

Business

First Name

KEELEY

Middle

Last Name

STEVENS

Business Name

KEELEY C STEVENS

Original Issue Date

12/04/2019

Effective Date

12/04/2019

Expiration Date

02/28/2022

City

TERRE HAUTE

State

Zip

47807

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022