Edward E Bloom
ExpiredCalifornia license 22012
License
- Licensed by
- California Physician Assistant Board
- License number
- 22012
- Status
- Expired (Delinquent)
- First issued
- July 23, 1993
- Expired
- May 31, 1997
- License holder
- Edward E Bloom
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ExpiredBoise, IDExpired May 31, 2026
Contact
333 Calle Miramar #B
Redondo Beach, CA 90277
Redondo Beach, CA 90277
Los Angeles County