LISA LYNN JACKSON - Occupational Therapist License in Indiana | # 056005287

LISA LYNN JACKSON

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005287

License Status

INACTIVE

Business

N

First Name

LISA

Middle

LYNN

Last Name

JACKSON

Business Name

LISA LYNN JACKSON

Original Issue Date

03/30/1999

Effective Date

02/01/2000

Expiration Date

12/31/1999

State

IN

Ever Disciplined

N

LastModifiedDate

07/28/2005