DAVID BLOOM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008266

License Status

NOT RENEWED

Business

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

City

S. ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

10/12/2005