George Edward Blake
Temporary Medical Doctor Permit
Indiana 99042920A Superceded
This Indiana license was held by George Edward Blake. The license is no longer active. It was granted on 06/24/2010 and expired on 09/24/2010
LICENSE DETAILS
- License Number: 99042920A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 06/24/2010 (almost 15 years ago)
- Expiry Date: 09/24/2010 (over 14 years ago)
LOCATIONS
A Address
Carmel IN 46033