LAUREN IRENE BLOOMBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

LAUREN

Middle

IRENE

Last Name

BLOOMBERG

Business Name

LAUREN IRENE BLOOMBERG MD

Original Issue Date

10/11/2022

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023