TRACY M BLOOM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403686

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

BLOOM

Business Name

TRACY M BLOOM

Original Issue Date

07/27/2012

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/04/2026