CARRIE MARTHA BLASER Advanced Practice Nurse License verification

CARRIE MARTHA BLASER

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

MARTHA

Last Name

BLASER

Business Name

CARRIE MARTHA BLASER

Original Issue Date

04/30/2010

Effective Date

05/28/2022

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

2019001383

Action

Suspension

Discipline Start Date

10/21/2020

Discipline Reason

advanced practice registered nurse license indefinitely suspended for a minimum of 12 months due to respondent's plea of guilty to misappropriation of identification information, a felony, related to respondent's theft of a co-workers DEA information to forge prescriptions for self-use.