RONALD ANDREW BLOOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

RONALD

Middle

ANDREW

Last Name

BLOOM

Suffix

Business Name

RONALD ANDREW BLOOM MD

Original Issue Date

12/17/2012

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023