JACKSON EVENSEN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029237

License Status

ACTIVE

Business

Title

DPT

First Name

JACKSON

Last Name

EVENSEN

Business Name

JACKSON EVENSEN DPT

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

09/30/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/24/2025