BLAKE, THOMAS BENJAMIN JR, MD

Medical - Physician

Georgia  009432   Deceased

This Georgia license was held by BLAKE, THOMAS BENJAMIN JR, MD. The license is no longer active. It was granted on 07/26/1961 and expired on 12/31/1991

LICENSE DETAILS

  • License Number: 009432
  • Category: Physician
  • Status: Deceased
  • Date Granted: 07/26/1961 (almost 64 years ago)
  • Expiry Date: 12/31/1991 (over 33 years ago)

LOCATIONS

A Address

P O BOX 1414, PHENIX CITY 36868