ROBERTA A BLOOM - Registered Nurse License in Illinois | # 041089706

ROBERTA A BLOOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089706

License Status

INACTIVE

Business

N

First Name

ROBERTA A

Last Name

BLOOM

Business Name

ROBERTA A BLOOM

Original Issue Date

04/01/1958

Effective Date

04/01/1958

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006