License holder summary

Terry Sheldon Bloom is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Terry Sheldon Bloom is Goshen Health System, 200 High Park Avenue, Goshen IN 46526. This licensed professional license is not current. The license was granted 08/05/2009 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Terry Sheldon Bloom
Controlled Substance Registration - Physician
License number
01067128B
Date granted
08/05/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Goshen Health System, 200 High Park Avenue, Goshen IN 46526
indianalicensing.org
ID 5859215
LAST UPDATED 2026-04-08 23:05:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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