Georgia
Composite Medical Board
BLACK, DANIEL TIMOTHY, DO
Medical - Physician
License number
053589
Date granted
08/08/2003
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
304 SHORTER AVE | SUITE 201
georgiadoctors.net
ID 38028831
LAST UPDATED 2024-04-08 19:18:26 UTC
LAST UPDATED 2024-04-08 19:18:26 UTC
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