FAYTH A BLOOMER - Advanced Practice Nurse License in Illinois | # 209011246

FAYTH A BLOOMER

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011246

License Status

NOT RENEWED

Business

N

First Name

FAYTH

Middle

A

Last Name

BLOOMER

Business Name

FAYTH A BLOOMER

Original Issue Date

02/04/2014

Effective Date

05/09/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018