License holder summary

RYAN WILLIAM BLACK is a Board Of Medicine licensed to practice in Idaho. The address on file for RYAN WILLIAM BLACK is 543 GLENNWOOD CIR RIGBY ID 83442. This licensed professional license is current. The license was granted 01/05/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RYAN WILLIAM BLACK
Board Of Medicine
License number
PA-1225
Date granted
01/05/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
543 GLENNWOOD CIR RIGBY ID 83442
idaholicensing.com
ID 48329248
LAST UPDATED 2024-03-27 20:22:31 UTC

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