ALLEN D BLOOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

ALLEN D

Last Name

BLOOM

Suffix

Business Name

ALLEN D BLOOM MD

Original Issue Date

01/05/1984

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023