License holder summary

GARY LEWIS BLOOMGREN is a Board Of Medicine licensed to practice in Idaho. The address on file for GARY LEWIS BLOOMGREN is 5168 Roby St NW Gig Harbor WA 98335. This licensed professional license is not current. The license was granted 03/04/1995 and expired on 06/01/1985.

Idaho

Division of Occupational and Professional Licenses

GARY LEWIS BLOOMGREN
Board Of Medicine
License number
M-6685
Date granted
03/04/1995
Date expires
06/01/1985
Class
Board Of Medicine
Status
Canceled
Address
5168 Roby St NW Gig Harbor WA 98335
idaholicensing.com
ID 48341008
LAST UPDATED 2024-01-28 00:31:04 UTC

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