JEANNINE M JACKSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007221

License Status

ACTIVE

Business

First Name

JEANNINE

Middle

Last Name

JACKSON

Business Name

JEANNINE M JACKSON

Original Issue Date

07/31/2015

Effective Date

08/29/2025

Expiration Date

09/30/2027

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

08/29/2025