JOHN BLOOM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001020

License Status

NOT RENEWED

Business

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

City

SCHAUMBURG

State

Zip

60194

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/09/2022