License holder summary

SHANE CHRISTOPHER BLAKE is a Dentist licensed to practice in Pennsylvania. The address on file for SHANE CHRISTOPHER BLAKE is Coudersport PA 16915. This medical practitioner license is current. The license was granted 09/23/2002 and expired on 03/31/2017.

Department of State

Board of Medicine

SHANE CHRISTOPHER BLAKE
Dentist
License number
DS035521
Date granted
09/23/2002
Date expires
03/31/2017
Class
Dentist
Status
Active
Address
Coudersport PA 16915
medicinepa.com
ID 37425797
LAST UPDATED 2026-05-16 17:41:58 UTC

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