NICOLE SERRITA JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005417

License Status

ACTIVE

Business

First Name

NICOLE

Middle

SERRITA

Last Name

JACKSON

Business Name

NICOLE SERRITA JACKSON

Original Issue Date

05/13/2020

Effective Date

12/19/2025

Expiration Date

12/31/2027

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

12/19/2025