ROMI BLOOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068460

License Status

EXPIRED

Business

Title

First Name

ROMI

Last Name

BLOOM

Business Name

ROMI BLOOM MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

SOMERVILLE

State

Zip

02145

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017