CONSTANCE A BLACK DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003759

License Status

NOT RENEWED

Business

First Name

CONSTANCE A

Last Name

BLACK

Suffix

Business Name

CONSTANCE A BLACK DC

Original Issue Date

01/19/1978

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017