License holder summary

Black, Benjamin Thomas is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 11/24/2010 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Black, Benjamin Thomas
Medical Physician & Surgeon
License number
2010040096  
Date granted
11/24/2010
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2102410
LAST UPDATED 2024-05-05 20:45:29 UTC

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