DONNA MARIE BLOOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054001

License Status

INACTIVE

Business

First Name

DONNA MARIE

Last Name

BLOOM

Business Name

DONNA MARIE BLOOM

Original Issue Date

01/13/1982

Expiration Date

01/31/1985

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/21/2005