SUSAN J BLOOM Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008066

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

BLOOM

Business Name

SUSAN J BLOOM

Original Issue Date

12/07/2010

Effective Date

10/06/2024

Expiration Date

09/30/2026

City

COCONUT CREEK

State

Zip

33073

Ever Disciplined

LastModifiedDate

10/06/2024