GRACE E BLACK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029551

License Status

ACTIVE

Business

First Name

GRACE

Middle

Last Name

BLACK

Business Name

GRACE E BLACK

Original Issue Date

10/01/2025

Effective Date

10/01/2025

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2025