DIANA D JACKSON - Occupational Therapist License in Illinois | # 056002374

DIANA D JACKSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002374

License Status

NOT RENEWED

Business

N

First Name

DIANA D

Last Name

JACKSON

Business Name

DIANA D JACKSON

Original Issue Date

04/24/1990

Effective Date

12/30/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026