JACQUE L FORD - Occupational Therapist License in Illinois | # 057001331

JACQUE L FORD

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001331

License Status

ACTIVE

Business

N

First Name

JACQUE L

Last Name

FORD

Business Name

JACQUE L FORD

Original Issue Date

09/11/1996

Effective Date

12/17/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/17/2025