RICHARD ALAN BLOOM MD - Medical Doctor License in New York | # 036062912

RICHARD ALAN BLOOM MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062912

License Status

INACTIVE

Business

N

First Name

RICHARD ALAN

Last Name

BLOOM

Suffix

MD

Business Name

RICHARD ALAN BLOOM MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006