Idaho
Division of Occupational and Professional Licenses
RICHARD R BLACK
Board Of Medicine
License number
O-0470
Date granted
03/03/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 89 Chagrin Falls OH 44022
idaholicensing.com
ID 48329247
LAST UPDATED 2024-02-29 00:35:28 UTC
LAST UPDATED 2024-02-29 00:35:28 UTC
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