GARY LEWIS BLOOMGREN
Idaho M-6685 Canceled
This Idaho license was held by GARY LEWIS BLOOMGREN. The license is no longer active. It was granted on 03/04/1995 and expired on 06/01/1985
LICENSE DETAILS
- License Number: M-6685
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/04/1995 (about 29 years ago)
- Expiry Date: 06/01/1985 (almost 39 years ago)
LOCATIONS
A Residential
5168 Roby St NW Gig Harbor WA 98335