STEFANIE BLAKE TUBIN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009726

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

BLAKE

Last Name

TUBIN

Business Name

STEFANIE BLAKE TUBIN

Original Issue Date

01/16/2024

Effective Date

01/16/2024

Expiration Date

10/31/2025

City

EAST AMHERST

State

Zip

14051

Ever Disciplined

LastModifiedDate

02/04/2026