SAMUEL RUSSO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022966

License Status

ACTIVE

Business

First Name

SAMUEL

Last Name

RUSSO

Business Name

SAMUEL RUSSO

Original Issue Date

09/26/2025

Effective Date

09/26/2025

Expiration Date

10/31/2027

City

SAINT LOUIS

State

Zip

63123

Ever Disciplined

LastModifiedDate

09/27/2025