JO ANNE BLOOM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001149

License Status

NOT RENEWED

Business

First Name

JO ANNE

Last Name

BLOOM

Business Name

JO ANNE BLOOM

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

LIVERPOOL

State

Zip

13088

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005