STEPHANIE MEGAN JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015215

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

MEGAN

Last Name

JACKSON

Business Name

STEPHANIE MEGAN JACKSON

Original Issue Date

11/07/2022

Effective Date

11/07/2025

Expiration Date

12/31/2027

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

11/07/2025