JAMES GERRIT BLOM

Medical - Physician With A Temporary Permit To Practice Medicine

Alaska  5075   Licensed

This Alaska license is held by JAMES GERRIT BLOM. The license is currently active. It was granted on 02/26/2009 and expired on 08/26/2009

LICENSE DETAILS

  • License Number: 5075
  • Category: Physician WITH A TEMPORARY PERMIT TO PRACTICE MEDICINE
  • Status: Licensed
  • Date Granted: 02/26/2009 (over 16 years ago)
  • Expiry Date: 08/26/2009 (almost 16 years ago)

LOCATIONS

A Address

728 WEST LOCUST STREET JOHNSON CITY TN 37604