DAVID FRANK BLAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033219

License Status

NOT RENEWED

Business

First Name

DAVID FRANK

Last Name

BLAKE

Suffix

Business Name

DAVID FRANK BLAKE MD

Original Issue Date

12/07/1954

Effective Date

12/07/1954

City

LIVERMORE

State

Zip

94550

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006