JAMIE LAWRENCE BLOOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175063

License Status

ACTIVE

Business

Title

First Name

JAMIE

Middle

LAWRENCE

Last Name

BLOOM

Business Name

JAMIE LAWRENCE BLOOM MD

Original Issue Date

05/21/2025

Effective Date

05/21/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/21/2025