STEPHANIE ADA BLOOM
Certified Registered Nurse Practitioner
Pennsylvania SP008819 Expired
This Pennsylvania license was held by STEPHANIE ADA BLOOM. The license is no longer active. It was granted on 01/19/2006 and expired on 10/31/2015
LICENSE DETAILS
- License Number: SP008819
- Category: Certified Registered Nurse Practitioner
- Status: Expired
- Date Granted: 01/19/2006 (over 20 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Farmington CT 06032