ROBERT W BLOOM MD - Medical Doctor License in Illinois | # 125015681

ROBERT W BLOOM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015681

License Status

EXPIRED

Business

N

First Name

ROBERT W

Last Name

BLOOM

Suffix

MD

Business Name

ROBERT W BLOOM MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/27/1985

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

09/22/2006