Pennsylvania
Department of State
STEPHANIE ADA BLOOM
Certified Registered Nurse Practitioner
License number
SP008819
Date granted
01/19/2006
Date expires
10/31/2015
Class
Certified Registered Nurse Practitioner
Status
Expired
Address
Farmington CT 06032
palicensing.org
ID 16672800
LAST UPDATED 2026-04-27 12:53:21 UTC
LAST UPDATED 2026-04-27 12:53:21 UTC
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