CHARLES T BLACK MD - Medical Doctor License in California | # 036074177

CHARLES T BLACK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074177

License Status

INACTIVE

Business

N

First Name

CHARLES T

Last Name

BLACK

Suffix

MD

Business Name

CHARLES T BLACK MD

Original Issue Date

11/21/1986

Effective Date

11/21/1986

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006