STACIE RENEE KISVER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011576

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

RENEE

Last Name

KISVER

Business Name

STACIE RENEE KISVER

Original Issue Date

12/23/2024

Effective Date

12/23/2024

Expiration Date

10/31/2025

City

CHALFONT

State

Zip

18914

Ever Disciplined

LastModifiedDate

02/04/2026