HUGO GUILLERMO BLAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136284

License Status

NOT RENEWED

Business

Title

First Name

HUGO

Middle

GUILLERMO

Last Name

BLAKE

Business Name

HUGO GUILLERMO BLAKE MD

Original Issue Date

08/18/2014

Effective Date

08/18/2014

Expiration Date

07/31/2017

City

HARLINGEN

State

Zip

78550

Ever Disciplined

LastModifiedDate

11/01/2017