NAOMI BLOOM GERSHON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106123

License Status

NOT RENEWED

Business

First Name

NAOMI

Middle

BLOOM

Last Name

GERSHON

Suffix

Business Name

NAOMI BLOOM GERSHON MD

Original Issue Date

01/22/2002

Effective Date

01/22/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2015