KATHERINE ELIZAB BLACK - Podiatrist License in Connecticut | # 016003063

KATHERINE ELIZAB BLACK

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003063

License Status

INACTIVE

Business

N

First Name

KATHERINE ELIZAB

Last Name

BLACK

Business Name

KATHERINE ELIZAB BLACK

Original Issue Date

06/27/1979

Effective Date

06/27/1979

Expiration Date

01/31/1997

State

CT

Ever Disciplined

N

LastModifiedDate

09/25/2006