Wisconsin
Department of Safety and Professional Services
Black, Samuel B
Medicine And Surgery
License number
7275-20
Date granted
06/30/1933
Date expires
11/01/1991
Class
Medicine And Surgery
Status
Surrendered
wisconsinmedicine.org
ID 12758083
LAST UPDATED 2024-08-08 03:30:33 UTC
LAST UPDATED 2024-08-08 03:30:33 UTC
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