Occupational Therapist
OCCUPATIONAL THERAPIST
056010658
ACTIVE
N
SHADI
M
SHALTAF
SHADI M SHALTAF
08/01/2014
12/31/2025
12/31/2027
HOMER GLEN
IL
60491
COOK
Y
12/31/2025
2021008251
Suspension
12/13/2021
02/03/2022
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/04/2022.