JAY D BLASE
Emergency Medical Service in Wisconsin

License number
Wisconsin 70102256
Issued Date
Apr 12, 2016
Expiration Date
Jun 30, 2018
Category
EMS Licensing
Type
EMT-Basic
Address
Address
Wisconsin
LicenseFiles verified this license of Mar 1, 2017 at the WISCONSIN DEPARTMENT OF HEALTH SERVICES.

Personal information

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Name
Address
Phone
Jay Blase, age 56
N1218 County Road Q, Watertown, WI 53098
(920) 420-1299

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