ROBERTA A BLOOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089706

License Status

INACTIVE

Business

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

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006