EVAN BLACK DMD - Dentist License in Illinois | # 019034672

EVAN BLACK DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034672

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025