TINA M JACKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000917

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

JACKSON

Business Name

TINA M JACKSON

Original Issue Date

09/08/1993

Effective Date

01/29/2004

Expiration Date

12/31/2005

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

02/16/2006