Wisconsin
Department of Safety and Professional Services
Bloom, Larry D
Dentistry
License number
6844-15
Date granted
03/09/2012
Date expires
09/30/2015
Class
Dentistry
Status
Active
wisconsinlicensing.org
ID 13778716
LAST UPDATED 2024-03-12 00:06:33 UTC
LAST UPDATED 2024-03-12 00:06:33 UTC
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