The holder whose full name is BLACK, VICKI JO,come from OLNEY IL,hold the Physical Therapist license(NO.05002546A) which status is Expired.
| Name | BLACK, VICKI JO |
|---|---|
| License Number | 05002546A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | OLNEY |
| State | IL |