License holder summary

Andre Anthony Blake PA is a Physician Assistant licensed to practice in Arizona. The address on file for Andre Anthony Blake PA is P.O. Box 10375, Moreno Valley CA 92552. This licensed professional license is not current. The license was granted 10/22/2012.

Arizona

Board of Licensing

Andre Anthony Blake PA
Physician Assistant
License number
5300
Date granted
10/22/2012
Class
Physician Assistant
Status
Expired
Address
P.O. Box 10375, Moreno Valley CA 92552
arizonalicensing.com
ID 22721389
LAST UPDATED 2024-03-22 00:04:33 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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