Wisconsin
Department of Safety and Professional Services
Blassingame, Michael D
Registered Nurse
License number
149270-30
Date granted
12/21/2004
Date expires
02/29/2012
Class
Registered Nurse
Status
Surrendered
nursingwisconsin.org
ID 12972979
LAST UPDATED 2024-03-02 20:45:21 UTC
LAST UPDATED 2024-03-02 20:45:21 UTC
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