License holder summary

Black, Michael Brian is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 05/02/2013 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Black, Michael Brian
Medical Physician & Surgeon
License number
2013013221  
Date granted
05/02/2013
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2102435
LAST UPDATED 2026-05-21 09:38:36 UTC

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