Michael Anthony Black

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085001426

Status

Expired (Not Renewed)

First issued

September 18, 2000

Expired

March 1, 2004

License holder

Michael Anthony Black

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

09/18/2000

Other Illinois licenses under this name

• IL
  Michael Anthony Black

  License 129318392

  Permanent Employee Registration (Detective Board)
  Expired

  Bloomington, IL

  Expired May 31, 2012
• IL
  Michael Anthony Black

  License 38*****89

  Physician Assistant Controlled Substance
  Expired

  Hinsdale, IL

  Expired Mar 1, 2004

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