DAVID E BLACK

Substance Use Disorder - Licensed Sudc

Utah  4830397-6006   Surrendered

This Utah license was held by DAVID E BLACK. The license is no longer active. It was granted on 11/01/2000 and expired on 03/03/2011

LICENSE DETAILS

  • License Number: 4830397-6006
  • Category: LICENSED SUDC
  • Status: Surrendered
  • Date Granted: 11/01/2000 (over 24 years ago)
  • Expiry Date: 03/03/2011 (about 14 years ago)

LOCATIONS

A Address

FORT DUCHESNE, UT 840260845