License holder summary

Stephen J Black is a Dentistry - Facility Permit (Permit D) licensed to practice in Massachusetts. The address on file for Stephen J Black is United States, Brockton 023015149. This licensed professional license is not current. The license was granted 07/31/1997 and expired on 03/31/2014.

Massachusetts

Division of Professional Licensure

Stephen J Black
Dentistry - Facility Permit (Permit D)
License number
DN1360050D
Date granted
07/31/1997
Date expires
03/31/2014
Class
Dentistry - Facility Permit (Permit D)
Status
Expired
Address
United States
licensingma.org
ID 38599549
LAST UPDATED 2024-05-12 03:42:46 UTC

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