Iowa
Professional Licensing Bureau
BLAKE T GREENFIELD
Physician Assistants - Physician Assistant
License number
001515
Date granted
08/27/2003
Date expires
09/30/2005
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
5931 VISTA DR #315 WEST DES MOINES IA 50266
iowalicenses.org
ID 24187773
LAST UPDATED 2024-03-31 13:42:10 UTC
LAST UPDATED 2024-03-31 13:42:10 UTC
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