RANDOLPH ALAN BLAKE Veterinarian License verification

Business Entity

INACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090004031

License Status

INACTIVE

Business

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

City

CHILTON

State

Zip

53014

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/15/2005