License holder summary

LISA BETH BLACK is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for LISA BETH BLACK is BERWYN PA 19312. This medical practitioner license is current. The license was granted 07/30/1996 and expired on 12/31/2016.

Department of State

Board of Medicine

LISA BETH BLACK
Medical Physician And Surgeon
License number
MD059690L
Date granted
07/30/1996
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
BERWYN PA 19312
medicinepa.com
ID 37589559
LAST UPDATED 2024-05-10 12:04:06 UTC

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