TRACY M BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113363

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BLOOM

Business Name

TRACY M BLOOM

Original Issue Date

09/12/2011

Effective Date

09/12/2011

Expiration Date

01/31/2013

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/20/2013