SUSAN BLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078904

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

BLACK

Suffix

Business Name

SUSAN BLACK MD

Original Issue Date

05/23/1989

Effective Date

05/23/1989

Expiration Date

07/31/1996

City

GAINESVILLE

State

Zip

32608

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006