Terry Sheldon Bloom
Controlled Substance Registration - Physician
Indiana 01067128B Expired
This Indiana license was held by Terry Sheldon Bloom. The license is no longer active. It was granted on 08/05/2009 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01067128B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/05/2009 (almost 16 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Goshen Health System, 200 High Park Avenue, Goshen IN 46526