License holder summary

JOAN MARIE BLOOM is a Board Of Medicine licensed to practice in Idaho. The address on file for JOAN MARIE BLOOM is 30544 Highway 200 PONDERAY ID 83852. This licensed professional license is current. The license was granted 07/26/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JOAN MARIE BLOOM
Board Of Medicine
License number
M-8563
Date granted
07/26/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
30544 Highway 200 PONDERAY ID 83852
idaholicensing.com
ID 48341005
LAST UPDATED 2024-03-17 15:29:24 UTC

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