BLAKE D ALEXANDER - Medical Doctor License in South Dakota | # 036096788

BLAKE D ALEXANDER

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096788

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

D

Last Name

ALEXANDER

Business Name

BLAKE D ALEXANDER

Original Issue Date

10/07/1997

Effective Date

10/07/1997

Expiration Date

07/31/1999

State

SD

Ever Disciplined

N

LastModifiedDate

07/16/2015