Medical Doctor Out-of-State Telehealth Provider
Donnevan Blake
Green Bay, WI
Not currently licensed
Null and void
Medical Doctor Out-of-State Telehealth Provider license TPME4567
- License number
- TPME4567
- Status
- Null and void
- First licensed
- Jun 29, 2022
- Status since
- Feb 6, 2024
- Licensed by
- Florida Department of Health (DOH)
About this license
Donnevan Blake held a medical doctor out-of-state telehealth provider license from the Florida Department of Health (DOH), number TPME4567. It was first issued on Jun 29, 2022. The state lists its status as “Null and void”. The city of record is Green Bay, WI.