M Kathryn Black
ExpiredCalifornia license 14582
License
- Licensed by
- California Physician Assistant Board
- License number
- 14582
- Status
- Expired (Delinquent)
- First issued
- July 16, 1998
- Expired
- June 30, 2024
- License holder
- M Kathryn Black
- Entity type
- Individual
Classifications
- Physician Assistant Physicians & Surgeons
More from the license record
- License type code
- 9501
Other California licenses under this name
-
CA
ActiveWillits, CAExpires Jun 30, 2028
Contact
750 Central Ave
Willits, CA 95490-3938
Willits, CA 95490-3938
Mendocino County