MOLLY BLOOM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024802

License Status

NOT RENEWED

Business

First Name

MOLLY

Last Name

BLOOM

Business Name

MOLLY BLOOM

Original Issue Date

10/17/2019

Effective Date

10/17/2019

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

20003

Ever Disciplined

LastModifiedDate

01/14/2021