JEAN N BLOOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041064726

License Status

INACTIVE

Business

First Name

JEAN N

Last Name

BLOOM

Business Name

JEAN N BLOOM

Original Issue Date

07/06/1949

Effective Date

07/06/1949

Expiration Date

05/31/1986

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006