License holder summary

TIMOTHY LYNN BLACK is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for TIMOTHY LYNN BLACK is 2222 PHILADELPHIA DR, DAYTON, OH 45406. This licensed professional license is not current. The license was granted 01/03/2003 and expired on 01/31/2008.

Ohio

Board of Licensing

TIMOTHY LYNN BLACK
Medical Board - 50.Physician Assistant
License number
50.001952
Date granted
01/03/2003
Date expires
01/31/2008
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
2222 PHILADELPHIA DR, DAYTON, OH 45406
ohiolicensing.org
ID 28511206
LAST UPDATED 2024-04-05 06:35:51 UTC

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