HAROLD A BLACK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008598

License Status

INACTIVE

Business

First Name

HAROLD A

Last Name

BLACK

Suffix

DDS

Business Name

HAROLD A BLACK DDS

Original Issue Date

05/17/1944

Effective Date

05/17/1944

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005