RONALD ANDREW BLOOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031694

License Status

EXPIRED

Business

First Name

RONALD

Middle

ANDREW

Last Name

BLOOM

Suffix

Business Name

RONALD ANDREW BLOOM MD

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006