BRIAN WALTER JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010871

License Status

ACTIVE

Business

First Name

BRIAN

Middle

WALTER

Last Name

JACKSON

Business Name

BRIAN WALTER JACKSON

Original Issue Date

01/05/2015

Effective Date

11/22/2025

Expiration Date

12/31/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

11/22/2025