BLACK, BLANTON EMANUEL JR, MD
Medical - Physician
Georgia 021645 Deceased
This Georgia license was held by BLACK, BLANTON EMANUEL JR, MD. The license is no longer active. It was granted on 08/13/1980 and expired on 12/31/1993
LICENSE DETAILS
- License Number: 021645
- Category: Physician
- Status: Deceased
- Date Granted: 08/13/1980 (over 44 years ago)
- Expiry Date: 12/31/1993 (over 31 years ago)
LOCATIONS
A Address
C/O MRS M M BLACK | 3412 KAMEL CIRCLE, Augusta 30909