NOLAN M BLACK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010479

License Status

ACTIVE

Business

First Name

NOLAN

Middle

Last Name

BLACK

Business Name

NOLAN M BLACK

Original Issue Date

08/05/2025

Effective Date

08/05/2025

Expiration Date

09/30/2027

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/05/2025