EDWARD W BLOOM

Medical - Physician In A Residency Program

Alaska  1343   Licensed

This Alaska license is held by EDWARD W BLOOM. The license is currently active. It was granted on 03/12/2000 and expired on 04/08/2000

LICENSE DETAILS

  • License Number: 1343
  • Category: Physician IN A RESIDENCY PROGRAM
  • Status: Licensed
  • Date Granted: 03/12/2000 (about 25 years ago)
  • Expiry Date: 04/08/2000 (about 25 years ago)

LOCATIONS

A Address

4320 SW PRIMROSE ST PORTLAND OR 97219