WILLIAM D BLOOMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

WILLIAM D

Last Name

BLOOMER

Suffix

Business Name

WILLIAM D BLOOMER MD

Original Issue Date

11/13/1991

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023