BLAKE, LISA WILLIAMS, MD
Medical - Physician
Georgia 055101 Active
This Georgia license is held by BLAKE, LISA WILLIAMS, MD. The license is currently active. It was granted on 07/02/2004 and expired on 11/30/2017
LICENSE DETAILS
- License Number: 055101
- Category: Physician
- Status: Active
- Date Granted: 07/02/2004 (almost 20 years ago)
- Expiry Date: 11/30/2017 (over 6 years ago)
LOCATIONS
A Address
15 RIVERBEND DRIVE | STE 200, Rome 30161
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