ANDREW BLACK MD - Medical Doctor License in Illinois | # 036156326

ANDREW BLACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156326

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ANDREW

Last Name

BLACK

Business Name

ANDREW BLACK MD

Original Issue Date

03/30/2021

Effective Date

03/30/2021

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023