License holder summary

Charles Wilfred Blackwell is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Charles Wilfred Blackwell is 201 W. Broadway, Columbia, MO 53201. This doctor license is not current. The license was granted 05/08/1964 and expired on 12/31/1967.

Department of Safety and Professional Services

Board of Medical Practice

Charles Wilfred Blackwell
Medical - Physician And Surgeon
License number
16523
Date granted
05/08/1964
Date expires
12/31/1967
Class
Medical - Physician And Surgeon
Status
Canceled
Address
201 W. Broadway, Columbia, MO 53201
doctorsminnesota.org
ID 22161508
LAST UPDATED 2024-04-24 08:53:53 UTC

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