Indiana
Professional Licensing Agency
Tywanna Lashea Jackson
Occupational Therapy Assistant
License number
32001156A
Date granted
12/05/2003
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Fort Wayne IN 46859
indianalicensing.org
ID 8275840
LAST UPDATED 2024-02-12 20:02:56 UTC
LAST UPDATED 2024-02-12 20:02:56 UTC
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