JACOB MAXWELL PHILLIP BLOOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134552

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

MAXWELL PHILLIP

Last Name

BLOOM

Business Name

JACOB MAXWELL PHILLIP BLOOM MD

Original Issue Date

02/07/2014

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2023