NAKIYAH M JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005476

License Status

ACTIVE

Business

First Name

NAKIYAH

Middle

Last Name

JACKSON

Business Name

NAKIYAH M JACKSON

Original Issue Date

09/23/2020

Effective Date

12/23/2025

Expiration Date

12/31/2027

City

ALTON

State

Zip

62002

Ever Disciplined

LastModifiedDate

12/23/2025