MARY A BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154914

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

BLOOM

Business Name

MARY A BLOOM

Original Issue Date

07/01/1974

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012