License holder summary

Stanley Wayne Blom is a Psychologist licensed to practice in Indiana. The address on file for Stanley Wayne Blom is South Bend IN 46615. This licensed professional license is current. The license was granted 12/30/1991 and expired on 08/31/2016.

Indiana

Professional Licensing Agency

Stanley Wayne Blom
Psychologist
License number
20040666A
Date granted
12/30/1991
Date expires
08/31/2016
Class
Psychologist
Status
Active
Address
South Bend IN 46615
indianalicensing.org
ID 8452059
LAST UPDATED 2024-02-19 00:34:35 UTC

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