License holder summary

DOUGLAS ROBERT BLAKE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for DOUGLAS ROBERT BLAKE is PROVIDENCE RI 02903. This medical practitioner license is not current. The license was granted 07/26/1974 and expired on 12/31/1996.

Department of State

Board of Medicine

DOUGLAS ROBERT BLAKE
Medical Physician And Surgeon
License number
MD015528E
Date granted
07/26/1974
Date expires
12/31/1996
Class
Medical Physician And Surgeon
Status
Inactive
Address
PROVIDENCE RI 02903
medicinepa.com
ID 37584909
LAST UPDATED 2026-04-28 10:07:49 UTC

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