Michael G Blake
InactiveIllinois license 046006710
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046006710
- Status
- Inactive
- First issued
- July 18, 1975
- Expired
- March 31, 1986
- License holder
- Michael G Blake
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Gallup, NM 87301
New Mexico County