SHEA ANNE JACKSON - Occupational Therapist License in Kentucky | # 056015487

SHEA ANNE JACKSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015487

License Status

NOT RENEWED

Business

N

First Name

SHEA

Middle

ANNE

Last Name

JACKSON

Business Name

SHEA ANNE JACKSON

Original Issue Date

06/06/2023

Effective Date

12/05/2023

Expiration Date

12/31/2025

State

KY

Ever Disciplined

N

LastModifiedDate

04/01/2026