SUZANNE L BLOHM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100574

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

BLOHM

Business Name

SUZANNE L BLOHM

Original Issue Date

10/06/2005

Effective Date

10/06/2005

Expiration Date

01/31/2007

City

FOX RIVER GROVE

State

Zip

60021

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/16/2007