LEAH KATHERINE BLOOM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022263

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

KATHERINE

Last Name

BLOOM

Business Name

LEAH KATHERINE BLOOM

Original Issue Date

07/21/2016

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021