BLACK, DANIEL TIMOTHY, DO
Medical - Physician
Georgia 053589 Lapsed
This Georgia license was held by BLACK, DANIEL TIMOTHY, DO. The license is no longer active. It was granted on 08/08/2003 and expired on 12/31/2005
LICENSE DETAILS
- License Number: 053589
- Category: Physician
- Status: Lapsed
- Date Granted: 08/08/2003 (almost 22 years ago)
- Expiry Date: 12/31/2005 (over 19 years ago)
LOCATIONS
A Address
304 SHORTER AVE | SUITE 201, Rome 30161