RICHARD A BLACK MD - Medical Doctor License in Michigan | # 036069660

RICHARD A BLACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069660

License Status

NOT RENEWED

Business

N

First Name

RICHARD A

Last Name

BLACK

Suffix

MD

Business Name

RICHARD A BLACK MD

Original Issue Date

10/17/1984

Effective Date

10/17/1984

Expiration Date

07/31/1993

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006