THOMAS LEE BLAKE
Dental Anesthesia Permit
Indiana 43000033A Expired
This Indiana license was held by THOMAS LEE BLAKE. The license is no longer active. It was granted on 04/08/1988 and expired on 03/01/1994
LICENSE DETAILS
- License Number: 43000033A
- Category: Dental Anesthesia Permit
- Status: Expired
- Date Granted: 04/08/1988 (about 36 years ago)
- Expiry Date: 03/01/1994 (about 30 years ago)
LOCATIONS
A Address
MUNCIE IN 47304