SAMANTHA FAYE KUSPA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007739

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

FAYE

Last Name

KUSPA

Business Name

SAMANTHA FAYE KUSPA

Original Issue Date

05/14/2019

Effective Date

08/18/2025

Expiration Date

10/31/2027

City

BAYSIDE

State

Zip

53217

Ever Disciplined

LastModifiedDate

08/18/2025