CARL D BLOOM - Dentist License in Mississippi | # 019021720

CARL D BLOOM

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021720

License Status

NOT RENEWED

Business

N

First Name

CARL D

Last Name

BLOOM

Business Name

CARL D BLOOM

Original Issue Date

09/02/1989

Effective Date

09/02/1989

Expiration Date

09/30/2000

State

MS

Ever Disciplined

N

LastModifiedDate

10/17/2005