DONNA MARIE BLOOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213290

License Status

INACTIVE

Business

First Name

DONNA MARIE

Last Name

BLOOM

Business Name

DONNA MARIE BLOOM

Original Issue Date

11/04/1982

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/08/2020