Carl D Bloom

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****76

Status

Inactive (Cancelled)

First issued

August 22, 1990

Expired

September 30, 1992

License holder

Carl D Bloom

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

08/22/1990

Other Illinois licenses under this name

• IL
  Carl D Bloom

  License 018000382

  Temporary Dental Training License
  Expired

  Chcago, IL

  Expired Jun 30, 1990
• IL
  Carl D Bloom

  License 019021720

  Licensed Dentist (Dental)
  Expired

  Gulfport, MS

  Expired Sep 30, 2000

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