TIMOTHY DWIGHT BLOOM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090003523

License Status

NOT RENEWED

Business

First Name

TIMOTHY DWIGHT

Last Name

BLOOM

Business Name

TIMOTHY DWIGHT BLOOM

Original Issue Date

07/02/1973

Effective Date

07/02/1973

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005