JAMES TILLMAN BLACK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012453

License Status

NOT RENEWED

Business

First Name

JAMES TILLMAN

Last Name

BLACK

Suffix

DDS

Business Name

JAMES TILLMAN BLACK DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1984

City

LOS ANGELES

State

Zip

90049

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005