TIMOTHY W BURGESS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007117

License Status

ACTIVE

Business

First Name

TIMOTHY W

Last Name

BURGESS

Business Name

TIMOTHY W BURGESS

Original Issue Date

09/25/1992

Effective Date

08/30/2024

Expiration Date

09/30/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

08/30/2024