License holder summary

JACOB MICHAEL BLOOM is a Pharmacy Intern licensed to practice in Indiana. The address on file for JACOB MICHAEL BLOOM is FORT WAYNE IN 46808. This licensed professional license is not current. The license was granted 07/08/1999 and expired on 05/01/2004.

Indiana

Professional Licensing Agency

JACOB MICHAEL BLOOM
Pharmacy Intern
License number
45011801A
Date granted
07/08/1999
Date expires
05/01/2004
Class
Pharmacy Intern
Status
Expired
Address
FORT WAYNE IN 46808
indianalicensing.org
ID 8303610
LAST UPDATED 2024-02-27 23:51:40 UTC

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