License holder summary

KARL E. BLAKE is a Board Of Medicine licensed to practice in Idaho. The address on file for KARL E. BLAKE is 10475 Grubbs Rd Wexford PA 15090. This licensed professional license is not current. The license was granted 07/15/1958 and expired on 07/02/1996.

Idaho

Division of Occupational and Professional Licenses

KARL E. BLAKE
Board Of Medicine
License number
M-2411
Date granted
07/15/1958
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
10475 Grubbs Rd Wexford PA 15090
idaholicensing.com
ID 48335237
LAST UPDATED 2024-02-08 23:23:53 UTC

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