Harold Anthony Black Dds
InactiveIllinois license 019014522
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019014522
- Status
- Inactive
- First issued
- July 11, 1973
- Expired
- September 30, 2004
- License holder
- Harold Anthony Black Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/11/1973
Contact
McFarland, WI 53558
Wisconsin County