ADAM J BLACK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097245

License Status

ACTIVE

Business

First Name

ADAM

Middle

Last Name

BLACK

Business Name

ADAM J BLACK

Original Issue Date

02/02/1998

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023