Pennsylvania
Department of State
JILL ELIZABETH BLOOM
Medical Physician Assistant
License number
MA001973L
Date granted
02/22/1995
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Inactive
Address
Blacksburg VA 24060
palicensing.org
ID 16633964
LAST UPDATED 2024-04-24 20:58:26 UTC
LAST UPDATED 2024-04-24 20:58:26 UTC
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