License holder summary

BLOOM, MICHAEL GARY, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLOOM, MICHAEL GARY, MD is 15243 VANOWEN STREET | SUITE 403, VAN NUYS 91405. This doctor license is current. The license was granted 06/05/1997 and expired on 08/31/2017.

Georgia

Composite Medical Board

BLOOM, MICHAEL GARY, MD
Medical - Physician
License number
043558
Date granted
06/05/1997
Date expires
08/31/2017
Class
Medical - Physician
Status
Active
Address
15243 VANOWEN STREET | SUITE 403
georgiadoctors.net
ID 38029174
LAST UPDATED 2026-03-09 08:58:48 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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