License holder summary

Charles David Blackwell is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Charles David Blackwell is 6125 Lake Virginia Drive, Shorewood, MN 55331. This doctor license is current. The license was granted 05/15/2004 and expired on 07/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Charles David Blackwell
Medical - Physician And Surgeon
License number
46524
Date granted
05/15/2004
Date expires
07/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
6125 Lake Virginia Drive, Shorewood, MN 55331
doctorsminnesota.org
ID 22161509
LAST UPDATED 2024-04-28 06:35:20 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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