DIANA M BLOOMBERG - Registered Nurse License in Wisconsin | # 043072678

DIANA M BLOOMBERG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072678

License Status

NOT RENEWED

Business

N

First Name

DIANA M

Last Name

BLOOMBERG

Business Name

DIANA M BLOOMBERG

Original Issue Date

12/23/1992

Effective Date

11/18/2004

Expiration Date

01/31/2007

State

WI

Ever Disciplined

N

LastModifiedDate

03/16/2007