SUSAN J BLOOM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BLOOM

Business Name

SUSAN J BLOOM

Original Issue Date

06/15/2009

Effective Date

06/15/2009

Expiration Date

05/31/2010

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/11/2010