Georgia
Composite Medical Board
BLOOM, INGRID BRUDVIK
Medical - Resident Physician
License number
004552
Date granted
07/01/2010
Date expires
06/30/2013
Class
Medical - Resident Physician
Status
Lapsed
Address
1648 PIERCE DR | SUITE 327
georgiadoctors.net
ID 38114591
LAST UPDATED 2024-04-03 02:15:54 UTC
LAST UPDATED 2024-04-03 02:15:54 UTC
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