License holder summary

JAN R BLACK is a Physical Therapist - Physical Therapist licensed to practice in Utah. The address on file for JAN R BLACK is BOUNTIFUL, UT 840101850. This licensed professional license is current. The license was granted 11/15/1991 and expired on 05/31/2015.

Utah

Division of Occupational and Professional Licensing

JAN R BLACK
Physical Therapist - Physical Therapist
License number
120890-2401
Date granted
11/15/1991
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist
Status
Active
Address
BOUNTIFUL, UT 840101850
utahlicensing.org
ID 29915045
LAST UPDATED 2024-03-20 03:38:47 UTC

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