SHANNON NICOLE GROB Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005043

License Status

ACTIVE

Business

First Name

SHANNON

Middle

NICOLE

Last Name

GROB

Business Name

SHANNON NICOLE GROB

Original Issue Date

10/02/2018

Effective Date

01/03/2026

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2026