TIMOTHY SCOTT ZICKUS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018006

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

SCOTT

Last Name

ZICKUS

Business Name

TIMOTHY SCOTT ZICKUS

Original Issue Date

08/05/2010

Effective Date

09/21/2024

Expiration Date

09/30/2026

City

OFALLON

State

Zip

62269

County

MADISON

Ever Disciplined

LastModifiedDate

09/21/2024