License holder summary

Fredric Lee Black is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Fredric Lee Black is 3344 Royal Circle, Grand Forks, ND 58201. This doctor license is current. The license was granted 11/23/1996 and expired on 08/31/2005.

Department of Safety and Professional Services

Board of Medical Practice

Fredric Lee Black
Medical - Physician And Surgeon
License number
39301
Date granted
11/23/1996
Date expires
08/31/2005
Class
Medical - Physician And Surgeon
Status
Active
Address
3344 Royal Circle, Grand Forks, ND 58201
doctorsminnesota.org
ID 22161448
LAST UPDATED 2024-02-16 22:24:20 UTC

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