EDWIN R BLACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009150

License Status

NOT RENEWED

Business

First Name

EDWIN R

Last Name

BLACK

Business Name

EDWIN R BLACK

Original Issue Date

09/23/1946

Effective Date

09/23/1946

Expiration Date

09/30/1984

City

SAN JACINTO

State

Zip

92383

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005