SUSAN L BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167380

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

BLOOM

Business Name

SUSAN L BLOOM

Original Issue Date

05/11/1976

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

07/10/2012