License holder summary

Charles Edward Black is a Physician licensed to practice in Indiana. The address on file for Charles Edward Black is MONROE MI 48161. This licensed professional license is not current. The license was granted 09/05/1951 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Charles Edward Black
Physician
License number
01016180A
Date granted
09/05/1951
Date expires
06/30/1989
Class
Physician
Status
Expired Non-Renewable
Address
MONROE MI 48161
indianalicensing.org
ID 6079582
LAST UPDATED 2024-03-17 04:19:23 UTC

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