LORI JAYNE BLACK - Physical Therapist License in Kentucky | # 160003735

LORI JAYNE BLACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003735

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

JAYNE

Last Name

BLACK

Business Name

LORI JAYNE BLACK

Original Issue Date

11/09/2000

Effective Date

11/09/2000

Expiration Date

09/30/2001

State

KY

Ever Disciplined

N

LastModifiedDate

10/17/2005