KAREN M BLACK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007794

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

Last Name

BLACK

Business Name

KAREN M BLACK

Original Issue Date

06/09/2006

Effective Date

06/09/2006

Expiration Date

12/31/2007

City

PHILADELPHIA

State

Zip

19139

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/15/2008