License holder summary

Johannes Victor Blom is a Medical - Physician licensed to practice in Colorado. The address on file for Johannes Victor Blom is 1028 Highland Dr, Canonsburg, PA, 15317-5317. This licensed professional license is not current. The license was granted 03/04/2005 and expired on 05/31/2007.

Colorado

Division of Professions and Occupations

Johannes Victor Blom
Medical - Physician
License number
43349
Date granted
03/04/2005
Date expires
05/31/2007
Class
Medical - Physician
Status
Expired
Address
1028 Highland Dr, Canonsburg, PA, 15317-5317
coloradolicensing.org
ID 27432435
LAST UPDATED 2024-04-26 15:07:34 UTC

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