HERBERT SCOTT BLACK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011257

License Status

INACTIVE

Business

First Name

HERBERT SCOTT

Last Name

BLACK

Suffix

DDS

Business Name

HERBERT SCOTT BLACK DDS

Original Issue Date

08/08/1958

Effective Date

08/08/1958

Expiration Date

09/30/1990

City

CHULA VISTA

State

Zip

92010

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005