Michael Anthony Black
ExpiredIllinois license 38*****89
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****89
- Status
- Expired (Not Renewed)
- First issued
- March 7, 2001
- Expired
- March 1, 2004
- License holder
- Michael Anthony Black
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 03/07/2001
Other Illinois licenses under this name
-
IL
ExpiredChicago, ILExpired Mar 1, 2004
-
IL
ExpiredBloomington, ILExpired May 31, 2012
Contact
Hinsdale, IL 60521
Dupage County