SHAZADIA LATONYIA JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006743

License Status

ACTIVE

Business

First Name

SHAZADIA

Middle

LATONYIA

Last Name

JACKSON

Business Name

SHAZADIA LATONYIA JACKSON

Original Issue Date

12/11/2002

Effective Date

12/12/2025

Expiration Date

12/31/2027

City

FLOSSMOOR

State

Zip

60422

Ever Disciplined

LastModifiedDate

12/12/2025