KELLY BUKOVAC Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010735

License Status

ACTIVE

Business

First Name

KELLY

Last Name

BUKOVAC

Business Name

KELLY BUKOVAC

Original Issue Date

07/13/2024

Effective Date

10/01/2025

Expiration Date

10/31/2027

City

KANSAS CITY

State

Zip

64145

Ever Disciplined

LastModifiedDate

10/01/2025