MARY ANN ANN KELLY MS KELLY Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023319

License Status

ACTIVE

Business

First Name

MARY ANN

Middle

ANN KELLY MS

Last Name

KELLY

Business Name

MARY ANN ANN KELLY MS KELLY

Original Issue Date

12/15/2025

Effective Date

12/15/2025

Expiration Date

10/31/2027

City

CARBONDALE

State

Zip

18407

Ever Disciplined

LastModifiedDate

01/26/2026