HALEY ANN BLOOM - Physician Assistant License in Illinois | # 085006477

HALEY ANN BLOOM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006477

License Status

NOT RENEWED

Business

N

First Name

HALEY

Middle

ANN

Last Name

BLOOM

Business Name

HALEY ANN BLOOM

Original Issue Date

01/04/2018

Effective Date

02/25/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022