AUDREY BROOKE JACKSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010405

License Status

ACTIVE

Business

First Name

AUDREY

Middle

BROOKE

Last Name

JACKSON

Business Name

AUDREY BROOKE JACKSON

Original Issue Date

04/29/2025

Effective Date

09/25/2025

Expiration Date

09/30/2027

City

JUNCTION

State

Zip

62954

County

GALLATIN

Ever Disciplined

LastModifiedDate

09/25/2025