STEPHENIE R BLOSSOMGAME Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041324836

License Status

ACTIVE

Business

First Name

STEPHENIE

Middle

Last Name

BLOSSOMGAME

Business Name

STEPHENIE R BLOSSOMGAME

Original Issue Date

06/25/2001

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

DYER

State

Zip

46311

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026