License holder summary

Blake, Charlene Marie is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 08/08/2012 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Blake, Charlene Marie
Medical Physician & Surgeon
License number
2012027909  
Date granted
08/08/2012
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2102494
LAST UPDATED 2026-06-13 06:38:39 UTC

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