License holder summary

R BLAKE EDMONDS is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for R BLAKE EDMONDS is PHILADELPHIA PA 19150. This licensed professional license is not current. The license was granted 08/04/1989 and expired on 06/30/2005.

Pennsylvania

Department of State

R BLAKE EDMONDS
Dentistry - Anesthesia Permit - Unrestricted
License number
DA019126A
Date granted
08/04/1989
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Expired
Address
PHILADELPHIA PA 19150
palicensing.org
ID 16539839
LAST UPDATED 2026-06-05 23:04:35 UTC

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