RENITA L SHORES-GASTON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017848

License Status

ACTIVE

Business

First Name

RENITA

Middle

Last Name

SHORES-GASTON

Business Name

RENITA L SHORES-GASTON

Original Issue Date

07/23/2015

Effective Date

10/14/2025

Expiration Date

11/30/2027

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2025