LESLIE A JANSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002940

License Status

ACTIVE

Business

First Name

LESLIE A

Last Name

JANSEN

Business Name

LESLIE A JANSEN

Original Issue Date

01/23/1998

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

DIETERICH

State

Zip

62424

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/22/2025