DEBRA KAY JACOBY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004475

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

KAY

Last Name

JACOBY

Business Name

DEBRA KAY JACOBY

Original Issue Date

03/14/2016

Effective Date

03/14/2016

Expiration Date

12/31/2017

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

01/29/2026