License holder summary

BLAKE ROBERT M is a Dental License licensed to practice in California. The address on file for BLAKE ROBERT M is 1204 COTTON WOOD ST STE 1 WOODLAND CA 95695. This licensed professional license is not current. The license was granted 01/01/1950 and expired on 09/30/1982.

California

Department of Consumer Affairs

BLAKE ROBERT M
Dental License
License number
11217
Date granted
01/01/1950
Date expires
09/30/1982
Class
Dental License
Status
Canceled
Address
1204 COTTON WOOD ST STE 1 WOODLAND CA 95695
californialicensing.org
ID 19809132
LAST UPDATED 2024-05-02 23:30:20 UTC

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