AUSTIN JACOB JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023362

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

JACOB

Last Name

JACKSON

Business Name

AUSTIN JACOB JACKSON

Original Issue Date

10/06/2017

Effective Date

08/19/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025