LINDA S BLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109901

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

Last Name

BLACK

Suffix

Business Name

LINDA S BLACK MD

Original Issue Date

08/11/2003

Effective Date

08/11/2003

Expiration Date

07/31/2005

City

ST PAUL

State

Zip

55105

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006