License holder summary

STEPHANIE LYNN BLACK is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for STEPHANIE LYNN BLACK is Smethport PA 16749. This licensed professional license is current. The license was granted 07/03/2012 and expired on 12/31/2014.

Pennsylvania

Department of State

STEPHANIE LYNN BLACK
Medicine - Athletic Trainer
License number
RT005263
Date granted
07/03/2012
Date expires
12/31/2014
Class
Medicine - Athletic Trainer
Status
Active
Address
Smethport PA 16749
palicensing.org
ID 16620020
LAST UPDATED 2026-04-09 19:37:05 UTC

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