FAYTH A BLOOMER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011246

License Status

NOT RENEWED

Business

First Name

FAYTH

Middle

Last Name

BLOOMER

Business Name

FAYTH A BLOOMER

Original Issue Date

02/04/2014

Effective Date

05/09/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018