David Paul Blake
Medical - Physician And Surgeon
Minnesota 25966 Inactive
This Minnesota license was held by David Paul Blake. The license is no longer active. It was granted on 02/20/1981 and expired on 06/30/2014
LICENSE DETAILS
- License Number: 25966
- Category: Physician and Surgeon
- Status: Inactive
- Date Granted: 02/20/1981 (about 44 years ago)
- Expiry Date: 06/30/2014 (almost 11 years ago)
LOCATIONS
A Licensure Designated Address
640 Jackson Street, St. Paul, MN 55101-2502