SHARON LESLIE BLOOM - Registered Nurse License in Illinois | # 041168693

SHARON LESLIE BLOOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168693

License Status

NOT RENEWED

Business

N

First Name

SHARON LESLIE

Last Name

BLOOM

Business Name

SHARON LESLIE BLOOM

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006