MICHAEL ANTHONY BLACK
Physician Assistant Controlled Substance(Delegated Schedules )
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 The license is no longer active.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(Delegated Schedules )
- 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