ROBERT EVAN BLOOMGARDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042496

License Status

NOT RENEWED

Business

First Name

ROBERT EVAN

Last Name

BLOOMGARDEN

Suffix

Business Name

ROBERT EVAN BLOOMGARDEN MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/01/1982

City

OAKLAND

State

Zip

94611

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006