STEPHANIE GRACE ELLIS Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003789

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

GRACE

Last Name

ELLIS

Business Name

STEPHANIE GRACE ELLIS

Original Issue Date

09/20/2002

Effective Date

10/27/2025

Expiration Date

10/31/2027

City

WAXHAW

State

Zip

28173

County

UNION

Ever Disciplined

LastModifiedDate

10/27/2025