ROBERT W 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

ROBERT W

Last Name

BLOOM

Suffix

Business Name

ROBERT W BLOOM MD

Original Issue Date

07/30/1990

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023