JO ANNE BLOOM - Dentist License in New York | # 020001149

JO ANNE BLOOM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001149

License Status

NOT RENEWED

Business

N

First Name

JO ANNE

Last Name

BLOOM

Business Name

JO ANNE BLOOM

Original Issue Date

07/14/1969

Effective Date

07/14/1969

State

NY

Ever Disciplined

N

LastModifiedDate

10/12/2005