PATRICE BLOOME Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006352

License Status

NOT RENEWED

Business

First Name

PATRICE

Last Name

BLOOME

Business Name

PATRICE BLOOME

Original Issue Date

01/15/1991

Effective Date

01/15/1991

Expiration Date

09/30/1998

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005