DONALD C BLAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080094

License Status

ACTIVE

Business

First Name

DONALD C

Last Name

BLAKE

Suffix

Business Name

DONALD C BLAKE MD

Original Issue Date

06/20/1990

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75240

Ever Disciplined

LastModifiedDate

07/12/2023