License holder summary

KELLY ANN BLAKE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for KELLY ANN BLAKE is Westminster MD 21157. This licensed professional license is not current. The license was granted 12/09/2008 and expired on 12/31/2010.

Pennsylvania

Department of State

KELLY ANN BLAKE
Medical Physician Assistant
License number
MA053759
Date granted
12/09/2008
Date expires
12/31/2010
Class
Medical Physician Assistant
Status
Expired
Address
Westminster MD 21157
palicensing.org
ID 16638640
LAST UPDATED 2024-02-19 11:06:42 UTC

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