Charles Henry Black IV
ActiveMichigan license 5101016776
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101016776
- Status
- Active
- First issued
- December 12, 2010
- Expires
- December 12, 2027
- License holder
- Charles Henry Black IV
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons