Indiana
Professional Licensing Agency
George Edward Blake
Temporary Medical Doctor Permit
License number
99042920A
Date granted
06/24/2010
Date expires
09/24/2010
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Carmel IN 46033
indianalicensing.org
ID 6128887
LAST UPDATED 2024-04-06 11:58:20 UTC
LAST UPDATED 2024-04-06 11:58:20 UTC
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