JAMES DURWARD BLACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

DURWARD

Last Name

BLACK

Business Name

JAMES DURWARD BLACK MD

Original Issue Date

06/15/2023

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CARTERSVILLE

State

Zip

30120

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023