BLAKE, CHARLES ALAN, MD
Medical - Physician
Georgia 039051 Deceased
This Georgia license was held by BLAKE, CHARLES ALAN, MD. The license is no longer active. It was granted on 10/06/1994 and expired on 12/31/1999
LICENSE DETAILS
- License Number: 039051
- Category: Physician
- Status: Deceased
- Date Granted: 10/06/1994 (over 30 years ago)
- Expiry Date: 12/31/1999 (over 25 years ago)
LOCATIONS
A Address
6001 CLARK ROAD, Harrison 37341