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
LAST UPDATED 2024-01-28 00:31:04 UTC
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