License holder summary

BLAKE MICHAEL J is a Dental License licensed to practice in California. The address on file for BLAKE MICHAEL J is PO BOX 958 IONE CA 95640. This licensed professional license is not current. The license was granted 01/01/1959 and expired on 12/31/2015.

California

Department of Consumer Affairs

BLAKE MICHAEL J
Dental License
License number
15018
Date granted
01/01/1959
Date expires
12/31/2015
Class
Dental License
Status
Inactive
Address
PO BOX 958 IONE CA 95640
californialicensing.org
ID 19779051
LAST UPDATED 2024-05-04 05:07:18 UTC

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