Wisconsin
Department of Safety and Professional Services
Blake, David Paul
Medicine And Surgery
License number
25205-20
Date granted
07/01/1983
Date expires
12/31/1985
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12772192
LAST UPDATED 2026-05-18 21:08:14 UTC
LAST UPDATED 2026-05-18 21:08:14 UTC
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