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 2026-06-14 19:34:42 UTC
LAST UPDATED 2026-06-14 19:34:42 UTC
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