DAVID FRANK BLAKE MD - Medical Doctor License in California | # 036033219

DAVID FRANK BLAKE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033219

License Status

NOT RENEWED

Business

N

First Name

DAVID FRANK

Last Name

BLAKE

Suffix

MD

Business Name

DAVID FRANK BLAKE MD

Original Issue Date

12/07/1954

Effective Date

12/07/1954

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006