Kenneth A. Black

Physician

Indiana  01024841A   Active

This Indiana license is held by Kenneth A. Black. The license is currently active. It was granted on 08/04/1973 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01024841A
  • Category: Physician
  • Status: Active
  • Date Granted: 08/04/1973 (almost 53 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Portage IN 46368