AGNIESZKA ELZBIETA JACKSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012498

License Status

ACTIVE

Business

First Name

AGNIESZKA

Middle

ELZBIETA

Last Name

JACKSON

Business Name

AGNIESZKA ELZBIETA JACKSON

Original Issue Date

06/05/2001

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/05/2024