MICHAEL TODD BLAKE
Medical - Osteopathic Physician Who Holds A Locum Tenens Permit
Alaska 6392 Licensed
This Alaska license is held by MICHAEL TODD BLAKE. The license is currently active. It was granted on 03/23/2012 and expired on 08/21/2012
LICENSE DETAILS
- License Number: 6392
- Category: Osteopathic Physician WHO HOLDS A LOCUM TENENS PERMIT
- Status: Licensed
- Date Granted: 03/23/2012 (about 12 years ago)
- Expiry Date: 08/21/2012 (over 11 years ago)
LOCATIONS
A Address
2066 NEZ PERCE DR SOUTH LAKE TAHOE CA 96150
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