ALBERT L BLAKE MD PC

Medical Licensing Board - Medical Corporation

Indiana  50001150A   Expired

This Indiana license was held by ALBERT L BLAKE MD PC. The license is no longer active. It was granted on 12/22/1976 and expired on 01/31/1996

LICENSE DETAILS

  • License Number: 50001150A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 12/22/1976 (over 47 years ago)
  • Expiry Date: 01/31/1996 (over 28 years ago)

LOCATIONS

A Address

5508 E 16TH ST, INDIANAPOLIS IN 46218