JAMES E BLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092041

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

BLACK

Suffix

Business Name

JAMES E BLACK MD

Original Issue Date

10/11/1995

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

SAINT PAUL

State

Zip

55117

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2004001573

Action

Probation

Discipline Start Date

06/29/2005

Discipline End Date

02/01/2010

Discipline Reason

VIOLATED HIS CARE AND COUNSELING AGREEMENT.