THOMAS CHARLES BLACK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010448

License Status

ACTIVE

Business

First Name

THOMAS

Middle

CHARLES

Last Name

BLACK

Business Name

THOMAS CHARLES BLACK

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

09/30/2027

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

07/01/2025