SARAH J BLACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007472

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

BLACK

Business Name

SARAH J BLACK

Original Issue Date

05/02/2016

Effective Date

09/10/2019

Expiration Date

01/31/2022

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/19/2022