BOYD KEOUGH BLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035993

License Status

NOT RENEWED

Business

First Name

BOYD KEOUGH

Last Name

BLACK

Suffix

Business Name

BOYD KEOUGH BLACK MD

Original Issue Date

08/31/1959

Effective Date

08/31/1959

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006