Wisconsin
Department of Safety and Professional Services
BLACK, CHARLES B
Medicine And Surgery
License number
42300-20
Date granted
07/07/2000
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12788643
LAST UPDATED 2024-03-18 09:18:39 UTC
LAST UPDATED 2024-03-18 09:18:39 UTC
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