Timothy Lynn Black

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085000583

Status

Expired (Not Renewed)

First issued

February 1, 1994

Expired

March 1, 2004

License holder

Timothy Lynn Black

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/01/1994

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