David S Black
InactiveIllinois license 046006807
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046006807
- Status
- Inactive
- First issued
- July 15, 1976
- Expired
- March 31, 1990
- License holder
- David S Black
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Two Rivers, WI 54241
Wisconsin County