RICHARD A BLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069660

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

BLACK

Suffix

Business Name

RICHARD A BLACK MD

Original Issue Date

10/17/1984

Effective Date

10/17/1984

Expiration Date

07/31/1993

City

ESCANABA

State

Zip

49829

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006