SUSAN J BLOOM - Registered Nurse License in Wisconsin | # 041205215

SUSAN J BLOOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205215

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

J

Last Name

BLOOM

Business Name

SUSAN J BLOOM

Original Issue Date

10/08/1981

Effective Date

02/21/2014

Expiration Date

05/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

07/03/2014