AUTUMN BLAKELY
Medical Board - 33.Lmt A B Group
Ohio 33.002997-A-B Inactive
This Ohio license was held by AUTUMN BLAKELY. The license is no longer active. It was granted on 01/30/1962 and expired on 01/01/2000
LICENSE DETAILS
- License Number: 33.002997-A-B
- Category: 33.LMT - A-B group
- Status: Inactive
- Date Granted: 01/30/1962 (over 63 years ago)
- Expiry Date: 01/01/2000 (over 25 years ago)
LOCATIONS
A Residence Address
ERIE, PA 16504