SUSANNE JANE BLACK MD
Licensed Physician And Surgeon
Illinois 036041450 Relinquished
This Illinois license was held by SUSANNE JANE BLACK MD. The license is no longer active. It was granted on 11/17/1967 and expired on 07/31/1996
LICENSE DETAILS
- License Number: 036041450
- Category: LICENSED PHYSICIAN AND SURGEON
- Status: Relinquished
- Date Granted: 11/17/1967 (over 56 years ago)
- Expiry Date: 07/31/1996 (almost 28 years ago)
LOCATIONS
A Address
GLENVIEW, IL 60025