Thomas R. Blake
Dentistry Board - Dental Corporation
Indiana 54000510A Active
This Indiana license is held by Thomas R. Blake. The license is currently active. It was granted on 12/01/1982 and expired on 01/31/2016
LICENSE DETAILS
- License Number: 54000510A
- Category: Dental Corporation
- Status: Active
- Date Granted: 12/01/1982 (over 42 years ago)
- Expiry Date: 01/31/2016 (over 9 years ago)
LOCATIONS
A Address
2409 FAIROAK DRIVE, FORT WAYNE IN 46809
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