The holder whose full name is BLACK, BOBBY GENE,come from SANTA BARBARA CA,hold the Physician license(NO.01036317A) which status is Expired Non-Renewable.
| Name | BLACK, BOBBY GENE |
|---|---|
| License Number | 01036317A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SANTA BARBARA |
| State | CA |