License holder summary

BLAKE, MICHAEL JOHN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLAKE, MICHAEL JOHN, MD is 30 EAST HURON STREET | APT 4509, CHICAGO 60611. This doctor license is not current. The license was granted 02/09/1989 and expired on 12/31/1995.

Georgia

Composite Medical Board

BLAKE, MICHAEL JOHN, MD
Medical - Physician
License number
031565
Date granted
02/09/1989
Date expires
12/31/1995
Class
Medical - Physician
Status
Inactive
Address
30 EAST HURON STREET | APT 4509
georgiadoctors.net
ID 38028963
LAST UPDATED 2024-04-16 13:45:15 UTC

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