RANDOLPH ALAN BLAKE - Veterinarian License in Wisconsin | # 090004031

RANDOLPH ALAN BLAKE

Business Entity

INACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090004031

License Status

INACTIVE

Business

N

First Name

RANDOLPH ALAN

Last Name

BLAKE

Business Name

RANDOLPH ALAN BLAKE

Original Issue Date

07/21/1977

Effective Date

07/21/1977

Expiration Date

01/31/1985

State

WI

Ever Disciplined

N

LastModifiedDate

10/15/2005