DARLENE VICTORIA JACKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003956

License Status

NOT RENEWED

Business

First Name

DARLENE

Middle

VICTORIA

Last Name

JACKSON

Business Name

DARLENE VICTORIA JACKSON

Original Issue Date

03/07/1996

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

POSEN

State

Zip

60469

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008