THEA ELIZABETH BLOOM IDPR Registered License verification

Business Entity

EXPIRED

License Type

IDPR Registered

Description

TEMPORARY GENETIC COUNSELOR

License Number

247000180

License Status

EXPIRED

Business

First Name

THEA

Middle

ELIZABETH

Last Name

BLOOM

Business Name

THEA ELIZABETH BLOOM

Original Issue Date

11/22/2022

Effective Date

11/22/2022

Expiration Date

11/22/2024

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2025