JOANN JACKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002620

License Status

NOT RENEWED

Business

First Name

JOANN

Last Name

JACKSON

Business Name

JOANN JACKSON

Original Issue Date

08/08/2005

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

PAYSON

State

Zip

85541

County

ARIZONA

Ever Disciplined

LastModifiedDate

02/08/2012