DAVID ALAN BLOOM DDS
Licensed Dentist Controlled Substance
Illinois 319004532 Relinquished
This Illinois license was held by DAVID ALAN BLOOM DDS. The license is no longer active. It was granted on 01/01/1998 and expired on 01/01/1998
LICENSE DETAILS
- License Number: 319004532
- Category: LICENSED DENTIST CONTROLLED SUBSTANCE
- Status: Relinquished
- Date Granted: 01/01/1998 (over 26 years ago)
- Expiry Date: 01/01/1998 (over 26 years ago)
LOCATIONS
A Address
FOREST PARK, IL 60130