JAYA M JACOB Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002028

License Status

INACTIVE

Business

First Name

JAYA

Middle

Last Name

JACOB

Business Name

JAYA M JACOB

Original Issue Date

05/18/2000

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2009