MARY JO BLOOMINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000816

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

BLOOMINGER

Business Name

MARY JO BLOOMINGER

Original Issue Date

08/29/1996

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

05/10/2018