License holder summary

David James Black is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David James Black is 1500 ALBANY STREET # 702, BEECH GROVE IN 46107. This licensed professional license is current. The license was granted 03/01/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David James Black
Controlled Substance Registration - Physician
License number
01034170B
Date granted
03/01/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1500 ALBANY STREET # 702, BEECH GROVE IN 46107
indianalicensing.org
ID 5822848
LAST UPDATED 2024-03-28 18:23:38 UTC

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