License holder summary

ILLSTON, BLAKE JEFFREY is a Medical - Resident Physician licensed to practice in Georgia. The address on file for ILLSTON, BLAKE JEFFREY is 309 SYNDENHAM WAY, Evans 30809. This doctor license is not current. The license was granted 06/12/2006 and expired on 06/30/2009.

Georgia

Composite Medical Board

ILLSTON, BLAKE JEFFREY
Medical - Resident Physician
License number
001882
Date granted
06/12/2006
Date expires
06/30/2009
Class
Medical - Resident Physician
Status
Lapsed
Address
309 SYNDENHAM WAY
georgiadoctors.net
ID 38117070
LAST UPDATED 2024-02-28 17:29:28 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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