License holder summary

LISA LU BLACK is a Physical And Occupational Therapy - Physical Therapist licensed to practice in Iowa. The address on file for LISA LU BLACK is 11524 SPAULDING OMAHA NE 68164. This licensed professional license is not current. The license was granted 03/04/1988 and expired on 02/15/2002.

Iowa

Professional Licensing Bureau

LISA LU BLACK
Physical And Occupational Therapy - Physical Therapist
License number
01456
Date granted
03/04/1988
Date expires
02/15/2002
Class
Physical And Occupational Therapy - Physical Therapist
Status
Inactive
Address
11524 SPAULDING OMAHA NE 68164
iowalicenses.org
ID 24179699
LAST UPDATED 2024-05-14 23:51:19 UTC

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