License holder summary

Kenneth Blake Robertson is a Physician licensed to practice in Indiana. The address on file for Kenneth Blake Robertson is South Bend IN 46637. This licensed professional license is current. The license was granted 12/12/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kenneth Blake Robertson
Physician
License number
01039887A
Date granted
12/12/1991
Date expires
10/31/2015
Class
Physician
Status
Active
Address
South Bend IN 46637
indianalicensing.org
ID 6101520
LAST UPDATED 2024-03-23 20:43:34 UTC

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