ROBERT ALLAN BLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066589

License Status

NOT RENEWED

Business

First Name

ROBERT ALLAN

Last Name

BLOOM

Suffix

Business Name

ROBERT ALLAN BLOOM MD

Original Issue Date

06/01/1983

Effective Date

06/01/1983

Expiration Date

07/31/1984

City

WORTHINGTON HILLS

State

Zip

43085

County

OHIO

Ever Disciplined

LastModifiedDate

07/05/2013