AMANDA VOLAND BLACK - Physical Therapist License in Illinois | # 070016134

AMANDA VOLAND BLACK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016134

License Status

INACTIVE

Business

N

First Name

AMANDA

Middle

VOLAND

Last Name

BLACK

Business Name

AMANDA VOLAND BLACK

Original Issue Date

12/05/2007

Effective Date

12/05/2007

Expiration Date

09/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2008