ROBERT LEO BLACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025541

License Status

EXPIRED

Business

First Name

ROBERT LEO

Last Name

BLACK

Suffix

Business Name

ROBERT LEO BLACK MD

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/24/1993

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006