JEFFREY N BLOOM MD - Medical Doctor License in Illinois | # 036079043

JEFFREY N BLOOM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079043

License Status

NOT RENEWED

Business

N

First Name

JEFFREY N

Last Name

BLOOM

Suffix

MD

Business Name

JEFFREY N BLOOM MD

Original Issue Date

06/20/1989

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

11/06/2008