FREDERICK JAMES BLOOM
Medicine - Written Agreement
Pennsylvania MX013751 Inactive
This Pennsylvania license was held by FREDERICK JAMES BLOOM. The license is no longer active. It was granted on 08/23/2012
LICENSE DETAILS
- License Number: MX013751
- Category: Written Agreement
- Status: Inactive
- Date Granted: 08/23/2012 (over 12 years ago)
LOCATIONS
A Address
389 WYOMING AVE Wyoming PA 18644