License holder summary

ERNEST RANDY BLOOM is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for ERNEST RANDY BLOOM is North Augusta SC 29841. This licensed professional license is not current. The license was granted 08/25/2003 and expired on 12/31/2008.

Pennsylvania

Department of State

ERNEST RANDY BLOOM
Physical Therapist Assistant
License number
TE007060
Date granted
08/25/2003
Date expires
12/31/2008
Class
Physical Therapist Assistant
Status
Inactive
Address
North Augusta SC 29841
palicensing.org
ID 17316196
LAST UPDATED 2024-04-15 02:43:42 UTC

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