License holder summary

Jordan P Bloom is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jordan P Bloom is 55 Fruit Street, GRB 4-425, Boston 02114. This licensed professional license is current. The license was granted 02/19/2014 and expired on 06/19/2018.

Massachusetts

Division of Professional Licensure

Jordan P Bloom
Board Of Registration In Medicine
License number
258111
Date granted
02/19/2014
Date expires
06/19/2018
Class
Board Of Registration In Medicine
Status
Active
Address
55 Fruit Street, GRB 4-425
licensingma.org
ID 41413636
LAST UPDATED 2026-03-25 09:05:44 UTC

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