ALISA C BLOOM Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004502

License Status

ACTIVE

Business

First Name

ALISA

Middle

Last Name

BLOOM

Business Name

ALISA C BLOOM

Original Issue Date

04/11/2006

Effective Date

10/29/2025

Expiration Date

10/31/2027

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/29/2025