License holder summary

Gerald L. Blossom is a Physician licensed to practice in Indiana. The address on file for Gerald L. Blossom is KNOXVILLE TN 37922. This licensed professional license is not current. The license was granted 08/09/1970 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Gerald L. Blossom
Physician
License number
01022965A
Date granted
08/09/1970
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
KNOXVILLE TN 37922
indianalicensing.org
ID 6065827
LAST UPDATED 2024-02-07 13:30:19 UTC

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