JAYA M JACOB - Occupational Therapist License in Illinois | # 057002028

JAYA M JACOB

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002028

License Status

INACTIVE

Business

N

First Name

JAYA

Middle

M

Last Name

JACOB

Business Name

JAYA M JACOB

Original Issue Date

05/18/2000

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

10/02/2009