Idaho
Division of Occupational and Professional Licenses
JILL LACSON
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1653
Date granted
08/17/2016
Date expires
06/20/2018
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
KINGMAN AZ 86401
idaholicensing.com
ID 43729670
LAST UPDATED 2026-05-11 23:40:06 UTC
LAST UPDATED 2026-05-11 23:40:06 UTC
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