LISA MARIE BLOM
Osteopathic Physician Assistant
Pennsylvania OA000362L Expired
This Pennsylvania license was held by LISA MARIE BLOM. The license is no longer active. It was granted on 07/08/1998 and expired on 10/31/2006
LICENSE DETAILS
- License Number: OA000362L
- Category: Osteopathic Physician Assistant
- Status: Expired
- Date Granted: 07/08/1998 (about 28 years ago)
- Expiry Date: 10/31/2006 (almost 20 years ago)
LOCATIONS
A Address
Rockville MD 20850