LISA LYNN JACKSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005287

License Status

INACTIVE

Business

First Name

LISA

Middle

LYNN

Last Name

JACKSON

Business Name

LISA LYNN JACKSON

Original Issue Date

03/30/1999

Effective Date

02/01/2000

Expiration Date

12/31/1999

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

07/28/2005