Wisconsin
Department of Safety and Professional Services
Blackmon-Humphrey, Ebony S
Registered Nurse
License number
160776-30
Date granted
10/24/2007
Date expires
02/29/2016
Class
Registered Nurse
Status
Inactive
nursingwisconsin.org
ID 36290169
LAST UPDATED 2024-04-29 07:31:07 UTC
LAST UPDATED 2024-04-29 07:31:07 UTC
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