SAM M BLOOM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001572

License Status

NOT RENEWED

Business

First Name

SAM M

Last Name

BLOOM

Business Name

SAM M BLOOM

Original Issue Date

07/13/1939

Effective Date

07/13/1939

City

ENCINO

State

Zip

91316

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006