License holder summary

MICHAEL BLACK is a Physical And Occupational Therapy - Physical Therapist licensed to practice in Iowa. The address on file for MICHAEL BLACK is 15211 NEWPORT AVE. OMAHA NE 68116. This licensed professional license is not current. The license was granted 09/18/2002 and expired on 06/15/2009.

Iowa

Professional Licensing Bureau

MICHAEL BLACK
Physical And Occupational Therapy - Physical Therapist
License number
03477
Date granted
09/18/2002
Date expires
06/15/2009
Class
Physical And Occupational Therapy - Physical Therapist
Status
Inactive
Address
15211 NEWPORT AVE. OMAHA NE 68116
iowalicenses.org
ID 24181508
LAST UPDATED 2026-05-11 01:50:38 UTC

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