License holder summary

Carl Milton Black is a Medical - Physician licensed to practice in Colorado. The address on file for Carl Milton Black is 1034 North 500 West, Provo, UT, 84604-4604. This licensed professional license is current. The license was granted 08/30/2011 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Carl Milton Black
Medical - Physician
License number
50495
Date granted
08/30/2011
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
1034 North 500 West, Provo, UT, 84604-4604
coloradolicensing.org
ID 27409972
LAST UPDATED 2026-05-23 12:32:25 UTC

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