DAWN MARIE ICKES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021348

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

MARIE

Last Name

ICKES

Business Name

DAWN MARIE ICKES

Original Issue Date

04/09/2015

Effective Date

04/09/2015

Expiration Date

09/30/2016

City

FULLERTON

State

Zip

92832

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/26/2016