Idaho
Division of Occupational and Professional Licenses
MYRON E. BLOOM
Board Of Medicine
License number
TLM-1049
Date granted
06/18/1979
Class
Board Of Medicine
Status
Upgraded
Address
PO Box 6924 Ketchikan AK 99901
idaholicensing.com
ID 48341006
LAST UPDATED 2024-02-17 18:26:56 UTC
LAST UPDATED 2024-02-17 18:26:56 UTC
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