DARLENE VICTORIA JACKSON - Occupational Therapist License in Illinois | # 056003956

DARLENE VICTORIA JACKSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003956

License Status

NOT RENEWED

Business

N

First Name

DARLENE

Middle

VICTORIA

Last Name

JACKSON

Business Name

DARLENE VICTORIA JACKSON

Original Issue Date

03/07/1996

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2008