JOHN BLOOM - Dentist License in Illinois | # 137001020

JOHN BLOOM

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001020

License Status

NOT RENEWED

Business

N

First Name

JOHN

Last Name

BLOOM

Business Name

JOHN BLOOM

Original Issue Date

03/29/2019

Effective Date

03/29/2019

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

05/09/2022