LESLIE ANN JACKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005550

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

ANN

Last Name

JACKSON

Business Name

LESLIE ANN JACKSON

Original Issue Date

11/05/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005