BLAKE, MICHAEL JOHN, MD
Medical - Physician
Georgia 031565 Inactive
This Georgia license was held by BLAKE, MICHAEL JOHN, MD. The license is no longer active. It was granted on 02/09/1989 and expired on 12/31/1995
LICENSE DETAILS
- License Number: 031565
- Category: Physician
- Status: Inactive
- Date Granted: 02/09/1989 (over 36 years ago)
- Expiry Date: 12/31/1995 (over 29 years ago)
LOCATIONS
A Address
30 EAST HURON STREET | APT 4509, CHICAGO 60611