License holder summary

STACEY LYNN BLOOM is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for STACEY LYNN BLOOM is WORMLEYSBURG PA 17043. This licensed professional license is not current. The license was granted 02/16/2000 and expired on 12/31/2000.

Pennsylvania

Department of State

STACEY LYNN BLOOM
Graduate Practical Nurse Permit
License number
PN001537Y
Date granted
02/16/2000
Date expires
12/31/2000
Class
Graduate Practical Nurse Permit
Status
Inactive
Address
WORMLEYSBURG PA 17043
palicensing.org
ID 16686555
LAST UPDATED 2024-03-12 17:26:16 UTC

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