JANIS L BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152569

License Status

NOT RENEWED

Business

First Name

JANIS L

Last Name

BLOOM

Business Name

JANIS L BLOOM

Original Issue Date

10/23/1973

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

EDINA

State

Zip

63537

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2021