INEZ M JACOBSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000851

License Status

INACTIVE

Business

First Name

INEZ M

Last Name

JACOBSON

Business Name

INEZ M JACOBSON

Original Issue Date

08/08/1984

Effective Date

01/23/2004

Expiration Date

12/31/2003

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005