CARRIE ELIZABETH BLOOM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031495

License Status

ACTIVE

Business

First Name

CARRIE

Middle

ELIZABETH

Last Name

BLOOM

Business Name

CARRIE ELIZABETH BLOOM

Original Issue Date

01/23/2025

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/26/2026