MICHAEL ANTHONY BLACK
Physician Assistant Controlled Substance
Illinois 385000189 Not Renewed
This Illinois license was held by MICHAEL ANTHONY BLACK. The license is no longer active. It was granted on 03/07/2001 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 385000189
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 03/07/2001 (about 24 years ago)
- Expiry Date: 03/01/2004 (about 21 years ago)
LOCATIONS
A Address
HINSDALE, IL 60521