ALLAN W BLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051403

License Status

NOT RENEWED

Business

First Name

ALLAN W

Last Name

BLOOM

Suffix

Business Name

ALLAN W BLOOM MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

City

POMPANO BEACH

State

Zip

33060

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006