THOMAS D BLOOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069542

License Status

INACTIVE

Business

First Name

THOMAS D

Last Name

BLOOM

Suffix

Business Name

THOMAS D BLOOM MD

Original Issue Date

09/25/1984

Effective Date

09/25/1984

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53223

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006