STEPHANIE ADA BLOOM
Nursing - Prescriptive Authority
Pennsylvania 005026 Inactive
This Pennsylvania license was held by STEPHANIE ADA BLOOM. The license is no longer active. It was granted on 04/04/2006 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 005026
- Category: Prescriptive Authority
- Status: Inactive
- Date Granted: 04/04/2006 (over 20 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Farmington CT 06032