SHAYNE NOELLE LEWIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013632

License Status

ACTIVE

Business

First Name

SHAYNE

Middle

NOELLE

Last Name

LEWIS

Business Name

SHAYNE NOELLE LEWIS

Original Issue Date

05/29/2020

Effective Date

12/01/2025

Expiration Date

12/31/2027

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/01/2025