License holder summary

AMANDA BLACK is a State Occupational Therapy Licensure Board - Occupational Therapist licensed to practice in Idaho. The address on file for AMANDA BLACK is SAGLE ID 83860. This licensed professional license is current. The license was granted 04/17/2012 and expired on 10/23/2016.

Idaho

Division of Occupational and Professional Licenses

AMANDA BLACK
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1112
Date granted
04/17/2012
Date expires
10/23/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
SAGLE ID 83860
idaholicensing.com
ID 43728313
LAST UPDATED 2024-03-20 06:35:42 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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