KELLY MARIE BLACKBURN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011060

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

BLACKBURN

Business Name

KELLY MARIE BLACKBURN

Original Issue Date

10/21/2024

Effective Date

10/31/2025

Expiration Date

10/31/2027

City

LEXINGTON

State

Zip

40502

Ever Disciplined

LastModifiedDate

10/31/2025