Idaho
Division of Occupational and Professional Licenses
LYLE H. BLACK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1599
Date granted
02/08/2001
Date expires
11/01/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MURTAUGH ID 83344
idaholicensing.com
ID 43730527
LAST UPDATED 2026-06-06 06:17:00 UTC
LAST UPDATED 2026-06-06 06:17:00 UTC
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