DIANA M BLOOMBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072678

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

BLOOMBERG

Business Name

DIANA M BLOOMBERG

Original Issue Date

12/23/1992

Effective Date

11/18/2004

Expiration Date

01/31/2007

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/16/2007