BLAKE CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159507

License Status

ACTIVE

Business

Title

First Name

BLAKE

Last Name

CARLSON

Business Name

BLAKE CARLSON MD

Original Issue Date

02/17/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ST LOUIS PARK

State

Zip

55416

Ever Disciplined

LastModifiedDate

07/01/2025