Michigan
Department of Licensing and Regulation
ELLEN BLOOM
Medical Doctor (Md) - Medical Doctor
License number
4301043820
Date granted
07/27/1981
Date expires
01/31/1985
Class
Medical Doctor (Md) - Medical Doctor
Status
Lapsed
Address
St Paul, MN 55108
michiganlicensing.org
ID 25798082
LAST UPDATED 2024-05-03 22:39:38 UTC
LAST UPDATED 2024-05-03 22:39:38 UTC
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