Jo Anne Bloom
ExpiredIllinois license 020001149
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001149
- Status
- Expired (Not Renewed)
- First issued
- July 14, 1969
- License holder
- Jo Anne Bloom
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/14/1969
Contact
Liverpool, NY 13088
New York County