KIMBERLY ANN RUSSO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164012195

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

RUSSO

Business Name

KIMBERLY ANN RUSSO

Original Issue Date

05/16/2025

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

TRAPPE

State

Zip

19426

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/22/2025