SUSAN ANTOINETTE SMITH Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006976

License Status

ACTIVE

Business

First Name

SUSAN

Middle

ANTOINETTE

Last Name

SMITH

Business Name

SUSAN ANTOINETTE SMITH

Original Issue Date

10/31/2016

Effective Date

09/25/2025

Expiration Date

10/31/2027

City

JACKSON SPRINGS

State

Zip

27281

Ever Disciplined

LastModifiedDate

09/25/2025