License holder summary

TERRY WILLIAM BLAKE is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for TERRY WILLIAM BLAKE is 1000 UNIVERSITY CR CARTHAGE TX 75633. This licensed professional license is current. The license was granted 07/25/2006 and expired on 12/31/2014.

Alaska

Division of Corporations, Business and Professional Licensing

TERRY WILLIAM BLAKE
Physician Assistants - Licensed Physician Assistant
License number
722
Date granted
07/25/2006
Date expires
12/31/2014
Class
Physician Assistants - Licensed Physician Assistant
Status
Active
Address
1000 UNIVERSITY CR CARTHAGE TX 75633
alaskalicensing.com
ID 20412884
LAST UPDATED 2024-03-24 22:05:24 UTC

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