SHAUNTEL RENETTA MOORE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004637

License Status

ACTIVE

Business

First Name

SHAUNTEL

Middle

RENETTA

Last Name

MOORE

Business Name

SHAUNTEL RENETTA MOORE

Original Issue Date

11/12/1997

Effective Date

11/28/2025

Expiration Date

12/31/2027

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2025