Blake, Jeffery I

Medicine And Surgery

Wisconsin  19062-20   Expired

This Wisconsin license was held by Blake, Jeffery I. The license is no longer active. It was granted on 10/21/1974 and expired on 12/31/1977

LICENSE DETAILS

  • License Number: 19062-20
  • Category: Medicine And Surgery
  • Status: Expired
  • Date Granted: 10/21/1974 (over 50 years ago)
  • Expiry Date: 12/31/1977 (over 47 years ago)