Delaware
Division of Professional Regulation
Shaun R. Black
Controlled Substances - Physician Csr
License number
DR-0007714
Date granted
10/18/2010
Date expires
06/30/2011
Class
Controlled Substances - Physician Csr
Status
Lapsed
Address
Danville PA 17821
delawarelicensing.com
ID 20536660
LAST UPDATED 2026-05-11 12:47:05 UTC
LAST UPDATED 2026-05-11 12:47:05 UTC
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