STACEY ELIZABETH SIMON Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008640

License Status

ACTIVE

Business

First Name

STACEY

Middle

ELIZABETH

Last Name

SIMON

Business Name

STACEY ELIZABETH SIMON

Original Issue Date

01/25/2022

Effective Date

11/17/2025

Expiration Date

10/31/2027

City

PLEASANTVILLE

State

Zip

10570

Ever Disciplined

LastModifiedDate

11/17/2025