NICOLE L DICKERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002912

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

DICKERSON

Business Name

NICOLE L DICKERSON

Original Issue Date

12/30/1997

Effective Date

08/18/2025

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/18/2025