Utah
Division of Occupational and Professional Licensing
LOUIS M BLAKE
Physician - Physician & Surgeon
License number
175811-1205
Date granted
11/10/1986
Date expires
01/31/2004
Class
Physician - Physician & Surgeon
Status
Expired
Address
EDMONDS, WA 980201805
utahlicensing.org
ID 29929120
LAST UPDATED 2024-03-04 19:31:35 UTC
LAST UPDATED 2024-03-04 19:31:35 UTC
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