JACLYN BROOKE EVANS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015359

License Status

ACTIVE

Business

First Name

JACLYN

Middle

BROOKE

Last Name

EVANS

Business Name

JACLYN BROOKE EVANS

Original Issue Date

03/22/2023

Effective Date

12/15/2025

Expiration Date

12/31/2027

City

DECATUR

State

Zip

62521

Ever Disciplined

LastModifiedDate

12/15/2025