KRISTIN J BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041382305

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

BLOOM

Business Name

KRISTIN J BLOOM

Original Issue Date

02/23/2010

Effective Date

05/13/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012