BLOSSIE M BOMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143096

License Status

NOT RENEWED

Business

First Name

BLOSSIE M

Last Name

BOMER

Business Name

BLOSSIE M BOMER

Original Issue Date

02/28/1972

Effective Date

05/14/2012

Expiration Date

05/31/2014

City

GLENDALE

State

Zip

85308

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/03/2014