License Directory

Blake Allen Haller

Active

Michigan license 4301502211

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301502211
Status
Active
First issued
April 21, 2020
Expires
April 21, 2029
License holder
Blake Allen Haller
Entity type
Individual

Classifications

Contact

University of Michigan
1500 E Medical Center Dr. 3110 TC SPC 5368
Ann Arbor, MI 48109
Washtenaw County