SUSAN J BLOOM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006444

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BLOOM

Business Name

SUSAN J BLOOM

Original Issue Date

01/22/2007

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

FRANKLIN

State

Zip

53132

Ever Disciplined

LastModifiedDate

07/03/2014