Wisconsin
Department of Safety and Professional Services
Blank, Ellen L
Medicine And Surgery
License number
22293-20
Date granted
07/13/1979
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12769381
LAST UPDATED 2024-03-27 08:01:23 UTC
LAST UPDATED 2024-03-27 08:01:23 UTC
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