NISIAN J JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005513

License Status

ACTIVE

Business

First Name

NISIAN

Middle

Last Name

JACKSON

Business Name

NISIAN J JACKSON

Original Issue Date

11/19/2020

Effective Date

12/16/2025

Expiration Date

12/31/2027

City

SCHERERVILLE

State

Zip

46375

Ever Disciplined

LastModifiedDate

12/16/2025