SHANNON DEANN MOATS Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008428

License Status

ACTIVE

Business

First Name

SHANNON

Middle

DEANN

Last Name

MOATS

Business Name

SHANNON DEANN MOATS

Original Issue Date

06/24/2021

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2025