JOHN DOUGLAS BLOOM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023878

License Status

ACTIVE

Business

First Name

JOHN DOUGLAS

Last Name

BLOOM

Suffix

DDS

Business Name

JOHN DOUGLAS BLOOM DDS

Original Issue Date

06/14/1995

Effective Date

05/23/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/23/2024