ANDREA L BLOOMGARDEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010275

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BLOOMGARDEN

Business Name

ANDREA L BLOOMGARDEN

Original Issue Date

04/06/2020

Effective Date

09/16/2020

Expiration Date

09/30/2022

City

PHILADELPHIA

State

Zip

19147

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/28/2022