PATRICIA J BLOOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

PATRICIA J

Last Name

BLOOM

Suffix

Business Name

PATRICIA J BLOOM MD

Original Issue Date

01/25/1990

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023