ELLEN BLOOM
Medical Doctor (Md) - Medical Doctor
Michigan 4301043820 Lapsed
This Michigan license was held by ELLEN BLOOM. The license is no longer active. It was granted on 07/27/1981 and expired on 01/31/1985
LICENSE DETAILS
- License Number: 4301043820
- Category: Medical Doctor
- Status: Lapsed
- Date Granted: 07/27/1981 (almost 44 years ago)
- Expiry Date: 01/31/1985 (over 40 years ago)
LOCATIONS
A Address
St Paul, MN 55108