License holder summary

KELLY BLACK is a Medical Examiners - Medical Doctor licensed to practice in Montana. The address on file for KELLY BLACK is SIOUX FALLS ND 57108.

Montana

Department of Labor and Industry

KELLY BLACK
Medical Examiners - Medical Doctor
License number
MED-PHYS-LIC-43946
Date expires
03/31/2016
Class
Medical Examiners - Medical Doctor
Status
Expired
Address
SIOUX FALLS ND 57108
licensingmt.com
ID 44530602
LAST UPDATED 2024-02-04 09:30:25 UTC

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