KELLY ANN BLAKE
Medical Physician Assistant
Pennsylvania MA053759 Expired
This Pennsylvania license was held by KELLY ANN BLAKE. The license is no longer active. It was granted on 12/09/2008 and expired on 12/31/2010
LICENSE DETAILS
- License Number: MA053759
- Category: Medical Physician Asst
- Status: Expired
- Date Granted: 12/09/2008 (over 15 years ago)
- Expiry Date: 12/31/2010 (over 13 years ago)
LOCATIONS
A Address
Westminster MD 21157