ALLEN D BLOOM MD - Medical Doctor License in Illinois | # 125014606

ALLEN D BLOOM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014606

License Status

EXPIRED

Business

N

First Name

ALLEN D

Last Name

BLOOM

Suffix

MD

Business Name

ALLEN D BLOOM MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/28/1984

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006