License holder summary

DAVID E BLACK is a Substance Use Disorder - Licensed Sudc licensed to practice in Utah. The address on file for DAVID E BLACK is FORT DUCHESNE, UT 840260845. This licensed professional license is not current. The license was granted 11/01/2000 and expired on 03/03/2011.

Utah

Division of Occupational and Professional Licensing

DAVID E BLACK
Substance Use Disorder - Licensed Sudc
License number
4830397-6006
Date granted
11/01/2000
Date expires
03/03/2011
Class
Substance Use Disorder - Licensed Sudc
Status
Surrendered
Address
FORT DUCHESNE, UT 840260845
utahlicensing.org
ID 30059314
LAST UPDATED 2024-02-11 23:26:20 UTC

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