Indiana
Professional Licensing Agency
MICHELLE M BLAKE PC
Medical Licensing Board - Medical Corporation
License number
50002646A
Date granted
02/27/1985
Date expires
01/31/2002
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
141 WEST 22ND STREET #213, ANDERSON IN 46016
indianalicensing.org
ID 24823406
LAST UPDATED 2024-02-18 16:56:20 UTC
LAST UPDATED 2024-02-18 16:56:20 UTC
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