Wisconsin
Department of Safety and Professional Services
Black, Brian E
Medicine And Surgery
License number
31096-20
Date granted
05/23/1990
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12777930
LAST UPDATED 2026-03-30 05:39:46 UTC
LAST UPDATED 2026-03-30 05:39:46 UTC
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