THEA ELIZABETH BLOOM IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000854

License Status

ACTIVE

Business

First Name

THEA

Middle

ELIZABETH

Last Name

BLOOM

Business Name

THEA ELIZABETH BLOOM

Original Issue Date

10/02/2023

Effective Date

01/22/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2025