ELIZABETH GRACE BLACK MD - Medical Doctor License in Missouri | # 036146792

ELIZABETH GRACE BLACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146792

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ELIZABETH

Middle

GRACE

Last Name

BLACK

Business Name

ELIZABETH GRACE BLACK MD

Original Issue Date

07/05/2018

Effective Date

08/03/2020

Expiration Date

07/31/2023

State

MO

Ever Disciplined

N

LastModifiedDate

11/30/2023