SUSAN BLACK MD - Medical Doctor License in Florida | # 036078904

SUSAN BLACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078904

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Last Name

BLACK

Suffix

MD

Business Name

SUSAN BLACK MD

Original Issue Date

05/23/1989

Effective Date

05/23/1989

Expiration Date

07/31/1996

State

FL

Ever Disciplined

N

LastModifiedDate

09/20/2006