PATRICIA J BLOOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079586

License Status

ACTIVE

Business

First Name

PATRICIA J

Last Name

BLOOM

Suffix

Business Name

PATRICIA J BLOOM MD

Original Issue Date

11/28/1989

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2023