JHARED MICHAEL BLACK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030918

License Status

ACTIVE

Business

Title

DMD

First Name

JHARED

Middle

MICHAEL

Last Name

BLACK

Business Name

JHARED MICHAEL BLACK DMD

Original Issue Date

08/02/2016

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2024