SUSAN J BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205215

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BLOOM

Business Name

SUSAN J BLOOM

Original Issue Date

10/08/1981

Effective Date

02/21/2014

Expiration Date

05/31/2014

City

FRANKLIN

State

Zip

53132

Ever Disciplined

LastModifiedDate

07/03/2014