License holder summary

John David Bloom is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for John David Bloom is 1736 11th St., Hampton, VA 23665. This doctor license is not current. The license was granted 05/10/1974 and expired on 12/31/1979.

Department of Safety and Professional Services

Board of Medical Practice

John David Bloom
Medical - Physician And Surgeon
License number
21355
Date granted
05/10/1974
Date expires
12/31/1979
Class
Medical - Physician And Surgeon
Status
Canceled
Address
1736 11th St., Hampton, VA 23665
doctorsminnesota.org
ID 22161801
LAST UPDATED 2024-03-23 05:07:11 UTC

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