Idaho
Division of Occupational and Professional Licenses
DONALD RAY BLACK
Board Of Medicine
License number
M-4985
Date granted
10/24/1985
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 17958 RENO NV 89511
idaholicensing.com
ID 48329238
LAST UPDATED 2024-04-26 21:33:23 UTC
LAST UPDATED 2024-04-26 21:33:23 UTC
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