License holder summary

Mary Alice Bloom is a Dental Radiographer licensed to practice in Indiana. The address on file for Mary Alice Bloom is Lafayette IN 47909-8558.

Indiana

Professional Licensing Agency

Mary Alice Bloom
Dental Radiographer
License number
XT001678
Date expires
09/22/2014
Class
Dental Radiographer
Status
Expired
Address
Lafayette IN 47909-8558
indianalicensing.org
ID 8465682
LAST UPDATED 2024-03-20 10:37:27 UTC

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