JOHN H BLACK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016000229

License Status

NOT RENEWED

Business

First Name

JOHN H

Last Name

BLACK

Business Name

JOHN H BLACK

Original Issue Date

01/01/1998

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

09/25/2006