License holder summary

EDWARD W BLOOM is a Medical - Physician In A Residency Program licensed to practice in Alaska. The address on file for EDWARD W BLOOM is 4320 SW PRIMROSE ST PORTLAND OR 97219. This licensed professional license is current. The license was granted 03/12/2000 and expired on 04/08/2000.

Alaska

Division of Corporations, Business and Professional Licensing

EDWARD W BLOOM
Medical - Physician In A Residency Program
License number
1343
Date granted
03/12/2000
Date expires
04/08/2000
Class
Medical - Physician In A Residency Program
Status
Licensed
Address
4320 SW PRIMROSE ST PORTLAND OR 97219
alaskalicensing.com
ID 20451053
LAST UPDATED 2024-01-30 03:52:05 UTC

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