Mary Jo Blasack
ExpiredCalifornia license 643193
License
- Licensed by
- California Board of Registered Nursing
- License number
- 643193
- Status
- Expired (Delinquent)
- First issued
- August 18, 2004
- Expired
- April 30, 2006
- License holder
- Mary Jo Blasack
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7720 Penn Av South #222
Richfield, MN 55423
Richfield, MN 55423
Hennepin County