Wisconsin
Department of Safety and Professional Services
Blakely, Charles A
Medicine And Surgery
License number
36667-20
Date granted
06/30/1995
Date expires
10/31/1997
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35614994
LAST UPDATED 2024-04-25 06:21:35 UTC
LAST UPDATED 2024-04-25 06:21:35 UTC
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