BLOSSIE M BOMER - Registered Nurse License in Arizona | # 041143096

BLOSSIE M BOMER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143096

License Status

NOT RENEWED

Business

N

First Name

BLOSSIE M

Last Name

BOMER

Business Name

BLOSSIE M BOMER

Original Issue Date

02/28/1972

Effective Date

05/14/2012

Expiration Date

05/31/2014

State

AZ

Ever Disciplined

N

LastModifiedDate

07/03/2014