RICHARD ENRIQUE BLAKE MD
Licensed Physician Controlled Substance
Illinois 336023461 Not Renewed
This Illinois license was held by RICHARD ENRIQUE BLAKE MD. The license is no longer active. It was granted on 01/01/1997 and expired on 09/01/1982
LICENSE DETAILS
- License Number: 336023461
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 01/01/1997 (over 28 years ago)
- Expiry Date: 09/01/1982 (over 42 years ago)
LOCATIONS
A Address
POTOMAC, MD 20854