License holder summary

Blasa, Kelley S is a Dietitian licensed to practice in Missouri. The address on file for Blasa, Kelley S is 11197 W Lakeshore Dr , Hannibal 63401. This licensed professional license is current. The license was granted 10/27/2006 and expired on 04/01/2014.

Missouri

Division of Professional Registration

Blasa, Kelley S
Dietitian
License number
2006033774  
Date granted
10/27/2006
Date expires
04/01/2014
Class
Dietitian
Status
Clear
Address
11197 W Lakeshore Dr 
licensingmissouri.org
ID 1168682
LAST UPDATED 2022-08-10 16:15:03 UTC

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