HELENA S JACKSON - Occupational Therapist License in Indiana | # 056005422

HELENA S JACKSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005422

License Status

NOT RENEWED

Business

N

First Name

HELENA

Middle

S

Last Name

JACKSON

Business Name

HELENA S JACKSON

Original Issue Date

05/26/1999

Effective Date

05/18/2000

Expiration Date

12/31/1999

State

IN

Ever Disciplined

N

LastModifiedDate

07/28/2005