R Lee Bloom Do
ExpiredIllinois license 036041615
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036041615
- Status
- Expired (Not Renewed)
- First issued
- March 29, 1968
- License holder
- R Lee Bloom Do
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 03/29/1968
Contact
Dillon, CO 80435
Colorado County