ILENE S BLOOM
Medicine - Physician Assistant
District of Columbia PA63 Expired
This District of Columbia license was held by ILENE S BLOOM. The license is no longer active. It was granted on 01/01/1901 and expired on 12/31/1998
LICENSE DETAILS
- License Number: PA63
- Category: PHYSICIAN ASSISTANT
- Status: Expired
- Date Granted: 01/01/1901 (over 124 years ago)
- Expiry Date: 12/31/1998 (over 26 years ago)
LOCATIONS
A Business Address
SUITE 208, 2400 41ST ST NW, WASHINGTON DC 20007