JILL L LAKE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000240

License Status

ACTIVE

Business

First Name

JILL L

Last Name

LAKE

Business Name

JILL L LAKE

Original Issue Date

08/08/1984

Effective Date

12/06/2025

Expiration Date

12/31/2027

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

12/06/2025