STACEY SMITH Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023150

License Status

ACTIVE

Business

First Name

STACEY

Last Name

SMITH

Business Name

STACEY SMITH

Original Issue Date

11/12/2025

Effective Date

11/12/2025

Expiration Date

10/31/2027

City

CONGERS

State

Zip

10920

Ever Disciplined

LastModifiedDate

11/12/2025