License holder summary

CAROL SUSAN BLACK is a Medicine - Medical Doctor licensed to practice in Michigan. This medical licensee license is not current. The license was granted 11/15/1988 and expired on 01/31/2012.

Department of Licensing and Regulatory Affairs

Board of Medicine

CAROL SUSAN BLACK
Medicine - Medical Doctor
License number
4301053924
Date granted
11/15/1988
Date expires
01/31/2012
Class
Medicine - Medical Doctor
Status
Lapsed
Address
michiganmedical.net
ID 38927083
LAST UPDATED 2024-03-13 16:02:31 UTC

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