KELLY M FALTERSACK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008059

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FALTERSACK

Business Name

KELLY M FALTERSACK

Original Issue Date

06/22/2020

Effective Date

09/02/2025

Expiration Date

10/31/2027

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/02/2025