SUSAN J BLOOM - Advanced Practice Nurse License in Wisconsin | # 209006444

SUSAN J BLOOM

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006444

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

J

Last Name

BLOOM

Business Name

SUSAN J BLOOM

Original Issue Date

01/22/2007

Effective Date

03/08/2012

Expiration Date

05/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

07/03/2014