JOSHUA A BLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

JOSHUA A

Last Name

BLOOM

Suffix

Business Name

JOSHUA A BLOOM MD

Original Issue Date

06/06/1984

Effective Date

06/06/1984

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006