ADAM BENJAMIN BLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138347

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

BENJAMIN

Last Name

BLOOM

Business Name

ADAM BENJAMIN BLOOM MD

Original Issue Date

06/17/2015

Effective Date

06/17/2015

Expiration Date

07/31/2017

City

STATE COLLEGE

State

Zip

16801

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/01/2017