DIANA D JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002374

License Status

ACTIVE

Business

First Name

DIANA D

Last Name

JACKSON

Business Name

DIANA D JACKSON

Original Issue Date

04/24/1990

Effective Date

12/30/2023

Expiration Date

12/31/2025

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2025