FREDERICK R BLOOM - Registered Nurse License in Illinois | # 041199652

FREDERICK R BLOOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199652

License Status

NOT RENEWED

Business

N

First Name

FREDERICK R

Last Name

BLOOM

Business Name

FREDERICK R BLOOM

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006