ANN PATRICE BLACK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152581

License Status

ACTIVE

Business

First Name

ANN

Middle

PATRICE

Last Name

BLACK

Business Name

ANN PATRICE BLACK

Original Issue Date

04/15/2020

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

BOERNE

State

Zip

78006

Ever Disciplined

LastModifiedDate

06/06/2023