JODI R BLOOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240977

License Status

INACTIVE

Business

First Name

JODI R

Last Name

BLOOM

Business Name

JODI R BLOOM

Original Issue Date

04/11/1987

Effective Date

04/11/1987

Expiration Date

05/31/1988

City

EAGLE RIVEN

State

Zip

54521

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006