CRYSTAL SHONTAE JACKSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006895

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

SHONTAE

Last Name

JACKSON

Business Name

CRYSTAL SHONTAE JACKSON

Original Issue Date

08/13/2014

Effective Date

09/16/2025

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

09/16/2025