Frederick R Bloom
ExpiredIllinois license 041199652
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041199652
- Status
- Expired (Not Renewed)
- First issued
- November 17, 1980
- Expired
- May 1, 1982
- License holder
- Frederick R Bloom
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 11/17/1980
Contact
Rantoul, IL 61866
Champaign County