GEORGE R BLOOM
Controlled Substance Registration - Physician
Indiana 01013976B Expired
This Indiana license was held by GEORGE R BLOOM. The license is no longer active. It was granted on 04/30/1986 and expired on 04/30/1987
LICENSE DETAILS
- License Number: 01013976B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 04/30/1987 (about 38 years ago)
LOCATIONS
A Address
236 SIMPSON STREET, ELKHART IN 46516