License holder summary

Dr. DONALD Roberts BLACK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DONALD Roberts BLACK is 920 CHURCH ST. NORTH CONCORD NC 28025. This licensed professional license is not current. The license was granted 10/26/2012 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. DONALD Roberts BLACK
Board Of Medicine
License number
M-11808
Date granted
10/26/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
920 CHURCH ST. NORTH CONCORD NC 28025
idaholicensing.com
ID 48329237
LAST UPDATED 2024-02-29 21:37:27 UTC

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