Wisconsin
Department of Safety and Professional Services
Blank, Rebecca L
Physician Assistant
License number
1561-23
Date granted
11/26/2002
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12800013
LAST UPDATED 2024-03-28 05:35:31 UTC
LAST UPDATED 2024-03-28 05:35:31 UTC
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