BLACK, DANIEL ROBERT, DO
Medical - Physician
Georgia 042181 Lapsed
This Georgia license was held by BLACK, DANIEL ROBERT, DO. The license is no longer active. It was granted on 08/08/1996 and expired on 12/31/1997
LICENSE DETAILS
- License Number: 042181
- Category: Physician
- Status: Lapsed
- Date Granted: 08/08/1996 (about 30 years ago)
- Expiry Date: 12/31/1997 (over 28 years ago)
LOCATIONS
A Address
790 HERMAN ROAD, GALLIPOLIS 45631