ROSEMARY A SCIORTINO BLOOM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002166

License Status

INACTIVE

Business

First Name

ROSEMARY A

Last Name

SCIORTINO BLOOM

Business Name

ROSEMARY A SCIORTINO BLOOM

Original Issue Date

05/06/1974

Effective Date

06/25/2012

Expiration Date

09/30/2015

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/08/2015