License holder summary

WEAVER, BLAKE EDWARD, DO is a Medical - Physician licensed to practice in Georgia. The address on file for WEAVER, BLAKE EDWARD, DO is 1120 15TH STREET, Augusta 30912. This doctor license is not current. The license was granted 04/04/2003 and expired on 12/31/2005.

Georgia

Composite Medical Board

WEAVER, BLAKE EDWARD, DO
Medical - Physician
License number
052850
Date granted
04/04/2003
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
1120 15TH STREET
georgiadoctors.net
ID 38091108
LAST UPDATED 2024-04-22 15:09:09 UTC

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