License holder summary

ELLEN BLOOM is a Medical Doctor (Md) - Medical Doctor licensed to practice in Michigan. The address on file for ELLEN BLOOM is St Paul, MN 55108. This licensed professional license is not current. The license was granted 07/27/1981 and expired on 01/31/1985.

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 2024-04-09 16:47:29 UTC

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