License holder summary

JOHANNES BLOM is a Medicine - Medicine And Surgery licensed to practice in District of Columbia. The address on file for JOHANNES BLOM is 4136 CADLE CREEK ROAD, EDGEWATER MD 21037. This licensed professional license is not current. The license was granted 03/31/1959 and expired on 12/31/2002.

District of Columbia

Department of Consumer and Regulatory Affairs

JOHANNES BLOM
Medicine - Medicine And Surgery
License number
MD25107
Date granted
03/31/1959
Date expires
12/31/2002
Class
Medicine - Medicine And Surgery
Status
Expired
Address
4136 CADLE CREEK ROAD, EDGEWATER MD 21037
dclicensing.com
ID 20155404
LAST UPDATED 2026-04-13 12:50:15 UTC

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