DAVID BLOOM - Dentist License in Illinois | # 019008266

DAVID BLOOM

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008266

License Status

NOT RENEWED

Business

N

First Name

DAVID

Last Name

BLOOM

Business Name

DAVID BLOOM

Original Issue Date

08/04/1942

Effective Date

08/04/1942

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005