SHELLY M BLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041324009

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

BLUM

Business Name

SHELLY M BLUM

Original Issue Date

04/05/2001

Effective Date

08/14/2020

Expiration Date

08/31/2022

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022