FREDERICK JAMES BLOOM
Medicine - Written Agreement
Pennsylvania MX002067 Inactive
This Pennsylvania license was held by FREDERICK JAMES BLOOM. The license is no longer active. It was granted on 10/14/2003
LICENSE DETAILS
- License Number: MX002067
- Category: Written Agreement
- Status: Inactive
- Date Granted: 10/14/2003 (almost 23 years ago)
LOCATIONS
A Address
389 WYOMING AVENUE WYOMING PA 18644