MICKI L JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001918

License Status

NOT RENEWED

Business

First Name

MICKI L

Last Name

JACKSON

Business Name

MICKI L JACKSON

Original Issue Date

10/31/1994

Effective Date

10/05/2021

Expiration Date

09/30/2023

City

PALM BAY

State

Zip

32907

Ever Disciplined

LastModifiedDate

02/02/2024