JONATHAN DAVID BLACK
Graduate Medical Trainee
Pennsylvania MT020779T Inactive
This Pennsylvania license was held by JONATHAN DAVID BLACK. The license is no longer active. It was granted on 02/11/1993 and expired on 06/30/1994
LICENSE DETAILS
- License Number: MT020779T
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 02/11/1993 (about 31 years ago)
- Expiry Date: 06/30/1994 (almost 30 years ago)
LOCATIONS
A Address
NO CITY PA 00000