Professional Records
License Records
Lyle H Black
License #:
3055 - Expired
Category:
Physical Therapy
Issued Date:
Nov 18, 2011
Effective Date:
Nov 6, 2013
Expiration Date:
Nov 1, 2013
Type:
Physical Therapist
Lyle Burton Black
Address:
1823 N 400 E, Orem, UT 84097
License #:
A5261464
Category:
Airmen
