EVAN BLACK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034672

License Status

NOT RENEWED

Business

Title

DMD

First Name

EVAN

Last Name

BLACK

Business Name

EVAN BLACK DMD

Original Issue Date

10/19/2023

Effective Date

10/19/2023

Expiration Date

09/30/2024

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2025