RICHARD ENRIQUE BLAKE MD
Licensed Physician And Surgeon
Illinois 036058874 Inactive
This Illinois license was held by RICHARD ENRIQUE BLAKE MD. The license is no longer active. It was granted on 07/11/1979 and expired on 07/31/1987
LICENSE DETAILS
- License Number: 036058874
- Category: LICENSED PHYSICIAN AND SURGEON
- Status: Inactive
- Date Granted: 07/11/1979 (almost 46 years ago)
- Expiry Date: 07/31/1987 (over 37 years ago)
LOCATIONS
A Address
POTOMAC, MD 20854