CARRIE MARTHA BLASER Advanced Practice Nurse License verification

CARRIE MARTHA BLASER

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008148

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

01/06/2021

Expiration Date

08/31/2022

City

MUKWONAGO

State

Zip

53149

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

2019001383

Action

Probation

Discipline Start Date

10/21/2020

Discipline End Date

01/13/2024

Discipline Reason

advanced practice registered nurse license placed on indefinite probation with conditions and practice restriction for a minimum of three years 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.