MARK JAMES BLACK DDS
Temporary Dental Training License
Illinois 018000687 Not Renewed
This Illinois license was held by MARK JAMES BLACK DDS. The license is no longer active. It was granted on 05/27/1993 and expired on 07/01/1994
LICENSE DETAILS
- License Number: 018000687
- Category: TEMPORARY DENTAL TRAINING LICENSE
- Status: Not Renewed
- Date Granted: 05/27/1993 (about 31 years ago)
- Expiry Date: 07/01/1994 (almost 30 years ago)
LOCATIONS
A Address
CHAMPAIGN, IL 61821