SHEILA E BLOOMQUIST MD Medical Doctor License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112093

License Status

Non Sufficient Fund Check Terminated

Business

First Name

SHEILA

Middle

Last Name

BLOOMQUIST

Suffix

Business Name

SHEILA E BLOOMQUIST MD

Original Issue Date

08/12/2004

Effective Date

09/08/2011

Expiration Date

07/31/2014

City

HOLBROOK

State

Zip

86025

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/21/2020