Michigan
Department of Licensing and Regulation
JACQUELYN NICOLE JAQUA
Occupational Therapist & Assistant - Occupational Therapist
License number
5201008132
Date granted
01/03/2012
Date expires
05/31/2016
Class
Occupational Therapist & Assistant - Occupational Therapist
Status
Active
Address
Madison Heights, MI 48071
michiganlicensing.org
ID 25870771
LAST UPDATED 2026-05-12 10:44:26 UTC
LAST UPDATED 2026-05-12 10:44:26 UTC
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