AMANDA VOLAND BLACK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016134

License Status

INACTIVE

Business

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

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

07/10/2008