BRENNAN M JACKSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004763

License Status

ACTIVE

Business

First Name

BRENNAN

Middle

Last Name

JACKSON

Business Name

BRENNAN M JACKSON

Original Issue Date

06/12/2017

Effective Date

12/27/2025

Expiration Date

12/31/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

12/27/2025