AMANDA S BLACK - Physical Therapist License in Illinois | # 070018486

AMANDA S BLACK

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018486

License Status

ACTIVE

Business

N

First Name

AMANDA

Middle

S

Last Name

BLACK

Business Name

AMANDA S BLACK

Original Issue Date

07/05/2011

Effective Date

07/17/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2024