STACEY SISEMORE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023360

License Status

ACTIVE

Business

First Name

STACEY

Last Name

SISEMORE

Business Name

STACEY SISEMORE

Original Issue Date

12/26/2025

Effective Date

12/26/2025

Expiration Date

10/31/2027

City

RAYMORE

State

Zip

64083

Ever Disciplined

LastModifiedDate

12/26/2025