License holder summary

John Timothy Blackwelder is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for John Timothy Blackwelder is 1240 Lancer Drive, Walla Walla, WA 99362. This doctor license is current. The license was granted 09/14/2002 and expired on 10/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

John Timothy Blackwelder
Medical - Physician And Surgeon
License number
21727
Date granted
09/14/2002
Date expires
10/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
1240 Lancer Drive, Walla Walla, WA 99362
doctorsminnesota.org
ID 22161505
LAST UPDATED 2024-05-12 08:36:41 UTC

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