RICHARD ENRIQUE BLAKE MD - Medical Doctor License in Maryland | # 036058874

RICHARD ENRIQUE BLAKE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058874

License Status

INACTIVE

Business

N

First Name

RICHARD ENRIQUE

Last Name

BLAKE

Suffix

MD

Business Name

RICHARD ENRIQUE BLAKE MD

Original Issue Date

07/11/1979

Effective Date

07/11/1979

Expiration Date

07/31/1987

State

MD

Ever Disciplined

N

LastModifiedDate

09/20/2006