License holder summary

Jonathan Edward Blake is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jonathan Edward Blake is 400 Maple Summit Rd, Jerseyville, IL 62052. This doctor license is not current. The license was granted 05/14/2011 and expired on 09/30/2014.

Department of Safety and Professional Services

Board of Medical Practice

Jonathan Edward Blake
Medical - Physician And Surgeon
License number
53861
Date granted
05/14/2011
Date expires
09/30/2014
Class
Medical - Physician And Surgeon
Status
Inactive
Address
400 Maple Summit Rd, Jerseyville, IL 62052
doctorsminnesota.org
ID 22161570
LAST UPDATED 2024-04-08 15:16:03 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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