HELENA S JACKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005422

License Status

NOT RENEWED

Business

First Name

HELENA

Middle

Last Name

JACKSON

Business Name

HELENA S JACKSON

Original Issue Date

05/26/1999

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

INDIANAPOLIS

State

Zip

46278

County

INDIANA

Ever Disciplined

LastModifiedDate

07/28/2005