License holder summary

ROGER W BLACK is a Dentist, Hygienist, Dental Assistant - Dentist licensed to practice in Michigan. The address on file for ROGER W BLACK is Berkley, MI 480720916. This licensed professional license is current. The license was granted 06/24/1974 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

ROGER W BLACK
Dentist, Hygienist, Dental Assistant - Dentist
License number
2901010634
Date granted
06/24/1974
Date expires
08/31/2015
Class
Dentist, Hygienist, Dental Assistant - Dentist
Status
Active
Address
Berkley, MI 480720916
michiganlicensing.org
ID 25758444
LAST UPDATED 2024-03-30 05:47:14 UTC

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