JONELLA R BLACK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005649

License Status

ACTIVE

Business

First Name

JONELLA R

Last Name

BLACK

Business Name

JONELLA R BLACK

Original Issue Date

01/14/1989

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

09/09/2024