ERIC ANTHONY BLOEMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000443

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

ANTHONY

Last Name

BLOEMER

Business Name

ERIC ANTHONY BLOEMER MD

Original Issue Date

03/01/2011

Effective Date

03/01/2011

Expiration Date

08/31/2011

City

MARSHALL

State

Zip

62441

County

CLARK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/27/2011