Delaware
Division of Professional Regulation
Carol V. Blake
Controlled Substances - Physician Assistant Csr
License number
PA0225
Date granted
08/10/2006
Date expires
06/30/2013
Class
Controlled Substances - Physician Assistant Csr
Status
Lapsed
Address
Lewes DE 19958
delawarelicensing.com
ID 20534699
LAST UPDATED 2024-04-02 17:32:30 UTC
LAST UPDATED 2024-04-02 17:32:30 UTC
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