MICHAEL H BOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041194426

License Status

NOT RENEWED

Business

First Name

MICHAEL H

Last Name

BOOM

Business Name

MICHAEL H BOOM

Original Issue Date

04/24/1980

Effective Date

04/24/1980

Expiration Date

05/31/1984

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/27/2006