MARY ELIZABETH BLOOM DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****43

License Status

NOT RENEWED

Business

First Name

MARY ELIZABETH

Last Name

BLOOM

Suffix

DVM

Business Name

MARY ELIZABETH BLOOM DVM

Original Issue Date

11/30/1994

Effective Date

11/30/1994

Expiration Date

01/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005