SPENCER ROBERT BLOOM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017073

License Status

ACTIVE

Business

First Name

SPENCER ROBERT

Last Name

BLOOM

Suffix

DDS

Business Name

SPENCER ROBERT BLOOM DDS

Original Issue Date

02/22/1980

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2024