JOSHUA A BLOOM MD - Medical Doctor License in Illinois | # 125014117

JOSHUA A BLOOM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014117

License Status

EXPIRED

Business

N

First Name

JOSHUA A

Last Name

BLOOM

Suffix

MD

Business Name

JOSHUA A BLOOM MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/23/1984

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006