Edwin R Black
ExpiredIllinois license 019009150
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019009150
- Status
- Expired (Not Renewed)
- First issued
- September 23, 1946
- Expired
- September 30, 1984
- License holder
- Edwin R Black
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/23/1946
Contact
San Jacinto, CA 92383
California County