JEFFREY L BLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058809

License Status

NOT RENEWED

Business

First Name

JEFFREY L

Last Name

BLACK

Suffix

Business Name

JEFFREY L BLACK MD

Original Issue Date

06/18/1979

Effective Date

06/18/1979

Expiration Date

07/31/1984

City

ROCKVILLE

State

Zip

20853

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006