DENNIS C BLOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041282157

License Status

NOT RENEWED

Business

First Name

DENNIS C

Last Name

BLOM

Business Name

DENNIS C BLOM

Original Issue Date

07/21/1994

Effective Date

07/21/1994

Expiration Date

05/31/1998

City

ELDRIDGE

State

Zip

52748

County

IOWA

Ever Disciplined

LastModifiedDate

09/27/2006