License holder summary

LISA MARIE BLOM is a Osteopathic Physician Assistant licensed to practice in Pennsylvania. The address on file for LISA MARIE BLOM is Rockville MD 20850. This licensed professional license is not current. The license was granted 07/08/1998 and expired on 10/31/2006.

Pennsylvania

Department of State

LISA MARIE BLOM
Osteopathic Physician Assistant
License number
OA000362L
Date granted
07/08/1998
Date expires
10/31/2006
Class
Osteopathic Physician Assistant
Status
Expired
Address
Rockville MD 20850
palicensing.org
ID 16997452
LAST UPDATED 2026-05-09 21:42:30 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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