License holder summary

LISA M BLOOM is a Nurse - Registered Nurse licensed to practice in Utah. The address on file for LISA M BLOOM is CAMILLUS, NY 13031. This nurse license is not current. The license was granted 10/03/1997 and expired on 01/31/1999.

Division of Occupational and Professional Licensing

Board of Nursing

LISA M BLOOM
Nurse - Registered Nurse
License number
348756-3105
Date granted
10/03/1997
Date expires
01/31/1999
Class
Nurse - Registered Nurse
Status
Expired
Address
CAMILLUS, NY 13031
nursingutah.org
ID 29848239
LAST UPDATED 2024-05-15 23:44:44 UTC

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