Jethro Black Jr

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****59

Status

Expired (Not Renewed)

First issued

June 19, 1990

Expired

September 30, 1996

License holder

Jethro Black Jr

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

06/19/1990

Other Illinois licenses under this name

• IL
  Jethro Black Jr

  License 018000388

  Temporary Dental Training License
  Expired

  East St Louis, IL

  Expired Jun 30, 1990
• IL
  Jethro Black Jr

  License 019021708

  Licensed Dentist (Dental)
  Revoked or denied

  Alton, IL

  Expired Sep 30, 1996

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