JILL D BLOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215561

License Status

NOT RENEWED

Business

First Name

JILL D

Last Name

BLOOM

Business Name

JILL D BLOOM

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

05/31/1992

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006