JEFFREY L BLACK MD - Medical Doctor License in Maryland | # 036058809

JEFFREY L BLACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058809

License Status

NOT RENEWED

Business

N

First Name

JEFFREY L

Last Name

BLACK

Suffix

MD

Business Name

JEFFREY L BLACK MD

Original Issue Date

06/18/1979

Effective Date

06/18/1979

Expiration Date

07/31/1984

State

MD

Ever Disciplined

N

LastModifiedDate

09/20/2006