ZACHARY BLOOMBERG MD - Medical Doctor License in Illinois | # 125080776

ZACHARY BLOOMBERG MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080776

License Status

CANCELLED

Business

N

Title

MD

First Name

ZACHARY

Last Name

BLOOMBERG

Business Name

ZACHARY BLOOMBERG MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

11/12/2024