License holder summary

Donnevan Blake is a Medical - Physician licensed to practice in Colorado. The address on file for Donnevan Blake is 744 S Webster Ave, Green Bay, WI, 54301-3505. This licensed professional license is not current. The license was granted 04/18/2011 and expired on 04/30/2013.

Colorado

Division of Professions and Occupations

Donnevan Blake
Medical - Physician
License number
49961
Date granted
04/18/2011
Date expires
04/30/2013
Class
Medical - Physician
Status
Expired
Address
744 S Webster Ave, Green Bay, WI, 54301-3505
coloradolicensing.org
ID 27432366
LAST UPDATED 2024-02-09 07:34:32 UTC

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