PAUL E NICKERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002422

License Status

ACTIVE

Business

First Name

PAUL E

Last Name

NICKERSON

Business Name

PAUL E NICKERSON

Original Issue Date

03/30/1996

Effective Date

09/10/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/10/2025