Gerald L. Blossom
Physician
Indiana 01022965A Expired Non-Renewable
This Indiana license was held by Gerald L. Blossom. The license is no longer active. It was granted on 08/09/1970 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01022965A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 08/09/1970 (about 56 years ago)
- Expiry Date: 06/30/2005 (about 21 years ago)
LOCATIONS
A Address
KNOXVILLE TN 37922