Pennsylvania
Department of State
MARK STEFAN BLOOM
Pharmacy - Authorization to Administer Injectables
License number
RPI003109
Date granted
09/15/2010
Date expires
09/30/2014
Class
Pharmacy - Authorization to Administer Injectables
Status
Expired
Address
WAYNE PA 19087
palicensing.org
ID 17029021
LAST UPDATED 2024-05-08 01:28:13 UTC
LAST UPDATED 2024-05-08 01:28:13 UTC
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