Indiana
Professional Licensing Agency
Charles Talburt Black
Physician
License number
01035495A
Date granted
09/25/1986
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Arlington TX 76016
indianalicensing.org
ID 27773214
LAST UPDATED 2024-02-08 15:15:36 UTC
LAST UPDATED 2024-02-08 15:15:36 UTC
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