Dr. BENNIE CARROL BLAKE
Medical Board - 35.Doctor Of Medicine
Ohio 35.040582 Deceased
This Ohio license was held by Dr. BENNIE CARROL BLAKE. The license is no longer active. It was granted on 05/06/1977 and expired on 12/31/1986
LICENSE DETAILS
- License Number: 35.040582
- Category: 35.Doctor of Medicine
- Status: Deceased
- Date Granted: 05/06/1977 (about 49 years ago)
- Expiry Date: 12/31/1986 (over 39 years ago)
LOCATIONS
A Residence Address
VALPARAISO, IN 46383