Susanne Jane Black Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036041450

Status

Inactive (Relinquish)

First issued

November 17, 1967

Expired

July 31, 1996

License holder

Susanne Jane Black Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

11/17/1967

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