License holder summary

Donnevan Blake is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Donnevan Blake is 4541 152nd Street W, Apple Valley, MN 55124. This doctor license is current. The license was granted 11/12/2005 and expired on 10/31/2009.

Department of Safety and Professional Services

Board of Medical Practice

Donnevan Blake
Medical - Physician And Surgeon
License number
48104
Date granted
11/12/2005
Date expires
10/31/2009
Class
Medical - Physician And Surgeon
Status
Active
Address
4541 152nd Street W, Apple Valley, MN 55124
doctorsminnesota.org
ID 22161561
LAST UPDATED 2024-04-04 13:18:49 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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