ERIC NILS BLOOM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

ERIC NILS

Last Name

BLOOM

Suffix

DDS

Business Name

ERIC NILS BLOOM DDS

Original Issue Date

08/25/1997

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024