License holder summary

JONATHAN DAVID BLOOM is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JONATHAN DAVID BLOOM is Boulder CO 80301. This medical practitioner license is not current. The license was granted 03/01/2011 and expired on 12/31/2012.

Department of State

Board of Medicine

JONATHAN DAVID BLOOM
Medical Physician And Surgeon
License number
MD442115
Date granted
03/01/2011
Date expires
12/31/2012
Class
Medical Physician And Surgeon
Status
Expired
Address
Boulder CO 80301
medicinepa.com
ID 37591489
LAST UPDATED 2026-05-28 21:44:52 UTC

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