License holder summary

STEPHANIE ALICE BLACK is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for STEPHANIE ALICE BLACK is Bala Cynwyd PA 19004. This medical practitioner license is current. The license was granted 07/15/2011 and expired on 12/31/2016.

Department of State

Board of Medicine

STEPHANIE ALICE BLACK
Medical Physician And Surgeon
License number
MD443506
Date granted
07/15/2011
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Bala Cynwyd PA 19004
medicinepa.com
ID 37591497
LAST UPDATED 2024-04-08 05:16:23 UTC

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