License holder summary

Revere, Stephanie Anne is a Dietitian licensed to practice in Missouri. The address on file for Revere, Stephanie Anne is 4135 Tyrolean Ave  63116. This licensed professional license is current. The license was granted 10/29/2009 and expired on 04/01/2014.

Missouri

Division of Professional Registration

Revere, Stephanie Anne
Dietitian
License number
2009033200  
Date granted
10/29/2009
Date expires
04/01/2014
Class
Dietitian
Status
Clear
Address
4135 Tyrolean Ave 
licensingmissouri.org
ID 1178827
LAST UPDATED 2024-05-10 07:42:35 UTC

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