CARRIE MARTHA BLASER Registered Nurse License verification

CARRIE MARTHA BLASER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339032

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

MARTHA

Last Name

BLASER

Business Name

CARRIE MARTHA BLASER

Original Issue Date

02/10/2004

Effective Date

05/28/2022

Expiration Date

06/30/2024

City

MUKWONAGO

State

Zip

53149

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/05/2025

Case Number

2019001383

Action

Probation

Discipline Start Date

10/21/2020

Discipline End Date

01/13/2024

Discipline Reason

registered professional 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.