Jethro Black Jr

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

018000388

Status

Expired (Not Renewed)

First issued

July 18, 1989

Expired

June 30, 1990

License holder

Jethro Black Jr

Entity type

Individual

Classifications

• Temporary Dental Training License Dental

More from the license record

Specialty

General Practice Residency

Current term began

07/18/1989

Other Illinois licenses under this name

• IL
  Jethro Black Jr

  License 019021708

  Licensed Dentist (Dental)
  Revoked or denied

  Alton, IL

  Expired Sep 30, 1996
• IL
  Jethro Black Jr

  License 31*****59

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Venice, IL

  Expired Sep 30, 1996

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