RICHARD R BLACK DO - Medical Doctor License in Ohio | # 036108975

RICHARD R BLACK DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108975

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

R

Last Name

BLACK

Suffix

DO

Business Name

RICHARD R BLACK DO

Original Issue Date

04/10/2003

Effective Date

07/24/2017

Expiration Date

09/30/2020

State

OH

Ever Disciplined

N

LastModifiedDate

01/14/2021