Department of Licensing and Regulatory Affairs
Board of Medicine
JENNIFER LEAH BLACK
Physicians Assistants - Physician Assistant
License number
5601004656
Date granted
09/14/2005
Date expires
08/31/2006
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39305950
LAST UPDATED 2024-03-10 12:53:08 UTC
LAST UPDATED 2024-03-10 12:53:08 UTC
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