SHEA ANNE JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015487

License Status

ACTIVE

Business

First Name

SHEA

Middle

ANNE

Last Name

JACKSON

Business Name

SHEA ANNE JACKSON

Original Issue Date

06/06/2023

Effective Date

12/05/2023

Expiration Date

12/31/2025

City

PADUCAH

State

Zip

42003

Ever Disciplined

LastModifiedDate

10/02/2025