License holder summary

BLAKE JOHNSON is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 06/24/1996 and expired on 07/06/1997.

Department of State

Board of Medicine

BLAKE JOHNSON
Graduate Medical Trainee
License number
MT037567T
Date granted
06/24/1996
Date expires
07/06/1997
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37539932
LAST UPDATED 2024-04-15 23:22:40 UTC

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