Wisconsin
Department of Safety and Professional Services
Bloom, Tammy Lee Koll
Medicine And Surgery
License number
37480-20
Date granted
02/23/1996
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12784071
LAST UPDATED 2024-04-09 00:55:09 UTC
LAST UPDATED 2024-04-09 00:55:09 UTC
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