LAUREN IRENE BLOOMBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075787

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

IRENE

Last Name

BLOOMBERG

Business Name

LAUREN IRENE BLOOMBERG MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2020