License holder summary

BLAKE, BRYAN DAVID, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLAKE, BRYAN DAVID, MD is 939 THORNTON RD, Lithia Springs 30122. This doctor license is current. The license was granted 09/07/1995 and expired on 04/30/2017.

Georgia

Composite Medical Board

BLAKE, BRYAN DAVID, MD
Medical - Physician
License number
040613
Date granted
09/07/1995
Date expires
04/30/2017
Class
Medical - Physician
Status
Active
Address
939 THORNTON RD
georgiadoctors.net
ID 38028948
LAST UPDATED 2024-02-11 06:45:29 UTC

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