RICHARD ALAN BLOOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062912

License Status

INACTIVE

Business

First Name

RICHARD ALAN

Last Name

BLOOM

Suffix

Business Name

RICHARD ALAN BLOOM MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1987

City

PITTSFORD

State

Zip

14534

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006