License holder summary

MICHAEL TODD BLAKE is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 07/23/2007 and expired on 06/30/2009.

Department of Licensing and Regulatory Affairs

Board of Medicine

MICHAEL TODD BLAKE
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101017514
Date granted
07/23/2007
Date expires
06/30/2009
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Voided
Address
michiganmedical.net
ID 39116294
LAST UPDATED 2024-04-06 17:05:40 UTC

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