Edward Eugene Black Dds
InactiveIllinois license 019012452
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019012452
- Status
- Inactive
- First issued
- July 14, 1964
- Expired
- September 30, 1992
- License holder
- Edward Eugene Black Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/14/1964
Contact
Los Angeles, CA 90006
California County