Richard Enrique Blake Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036058874

Status

Inactive

First issued

July 11, 1979

Expired

July 31, 1987

License holder

Richard Enrique Blake Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

07/11/1979

Other Illinois licenses under this name

• IL
  Richard Enrique Blake Md

  License 33*****61

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Chicago, IL

  Expired Sep 1, 1982

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