DAVID ARI BLOOM MD - Medical Doctor License in New York | # 33*****71

DAVID ARI BLOOM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DAVID

Middle

ARI

Last Name

BLOOM

Business Name

DAVID ARI BLOOM MD

Original Issue Date

07/14/2015

Effective Date

08/09/2017

Expiration Date

09/30/2020

State

NY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021