DAVID BLACK DRENNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040369

License Status

NOT RENEWED

Business

First Name

DAVID BLACK

Last Name

DRENNAN

Suffix

Business Name

DAVID BLACK DRENNAN MD

Original Issue Date

05/23/1966

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/01/2017