Indiana
Professional Licensing Agency
Charles Thomas Black
Physician
License number
01073817A
Date granted
04/03/2014
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Arlington TX 76016
indianalicensing.org
ID 27773220
LAST UPDATED 2024-01-14 21:16:41 UTC
LAST UPDATED 2024-01-14 21:16:41 UTC
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