Wisconsin
Department of Safety and Professional Services
Blom, Maryellen K
Registered Nurse
License number
138981-30
Date granted
07/02/2001
Date expires
02/28/2006
Class
Registered Nurse
Status
Expired
nursingwisconsin.org
ID 12957821
LAST UPDATED 2026-06-06 00:03:54 UTC
LAST UPDATED 2026-06-06 00:03:54 UTC
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