Wisconsin
Department of Safety and Professional Services
Blackwood, Phyllis A
Licensed Practical Nurse
License number
24843-31
Date granted
06/03/1982
Date expires
04/30/2013
Class
Licensed Practical Nurse
Status
Expired
nursingwisconsin.org
ID 13127205
LAST UPDATED 2024-05-08 06:01:17 UTC
LAST UPDATED 2024-05-08 06:01:17 UTC
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