IRVING AARON BLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056721

License Status

NOT RENEWED

Business

First Name

IRVING AARON

Last Name

BLOOM

Suffix

Business Name

IRVING AARON BLOOM MD

Original Issue Date

05/19/1978

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

VISTA

State

Zip

92083

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017