ADAM J BLACK - Medical Doctor License in Illinois | # 036097245

ADAM J BLACK

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097245

License Status

ACTIVE

Business

N

First Name

ADAM

Middle

J

Last Name

BLACK

Business Name

ADAM J BLACK

Original Issue Date

02/02/1998

Effective Date

05/02/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2023