MICHAEL ANTHONY BLACK
Licensed Physician Assistant
Illinois 085001426 Not Renewed
This Illinois license was held by MICHAEL ANTHONY BLACK. The license is no longer active. It was granted on 09/18/2000 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 085001426
- Category: LICENSED PHYSICIAN ASSISTANT
- Status: Not Renewed
- Date Granted: 09/18/2000 (over 24 years ago)
- Expiry Date: 03/01/2004 (about 21 years ago)
LOCATIONS
A Address
HINSDALE, IL 60521