VICTORIA V BLANK IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000656

License Status

ACTIVE

Business

First Name

VICTORIA

Middle

Last Name

BLANK

Business Name

VICTORIA V BLANK

Original Issue Date

07/29/2021

Effective Date

11/15/2024

Expiration Date

01/31/2027

City

APPLETON

State

Zip

54915

Ever Disciplined

LastModifiedDate

11/15/2024