Massachusetts
Division of Professional Licensure
Samuel A. Black Jr.
Dentistry - Limited License
License number
DL9684
Date granted
09/19/2007
Date expires
09/18/2008
Class
Dentistry - Limited License
Status
Expired
Address
United States
licensingma.org
ID 38586913
LAST UPDATED 2024-04-08 03:55:54 UTC
LAST UPDATED 2024-04-08 03:55:54 UTC
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