License holder summary

MICHAEL VINCENT BLACK is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for MICHAEL VINCENT BLACK is State College PA 16803. This licensed professional license is not current. The license was granted 08/07/2009 and expired on 12/31/2012.

Pennsylvania

Department of State

MICHAEL VINCENT BLACK
Medicine - Athletic Trainer
License number
RT004611
Date granted
08/07/2009
Date expires
12/31/2012
Class
Medicine - Athletic Trainer
Status
Expired
Address
State College PA 16803
palicensing.org
ID 16619381
LAST UPDATED 2024-03-15 07:22:16 UTC

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