License holder summary

RICHARD WILLIAM BLAKE is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for RICHARD WILLIAM BLAKE is 1751 E GARDNER WAY STE D WASILLA AK 99654. This licensed professional license is current. The license was granted 05/01/2000 and expired on 12/31/2014.

Alaska

Division of Corporations, Business and Professional Licensing

RICHARD WILLIAM BLAKE
Physician Assistants - Licensed Physician Assistant
License number
482
Date granted
05/01/2000
Date expires
12/31/2014
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
1751 E GARDNER WAY STE D WASILLA AK 99654
alaskalicensing.com
ID 20412882
LAST UPDATED 2024-04-17 16:50:04 UTC

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