LESLIE A JACOBS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002373

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

JACOBS

Business Name

LESLIE A JACOBS

Original Issue Date

08/10/1990

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

LAWRENCEVILLE

State

Zip

30042

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/16/2006