License holder summary

KIM A. BULLOCK is a Medicine - Medicine And Surgery licensed to practice in District of Columbia. The address on file for KIM A. BULLOCK is PROVIDENCE HOSPITAL, 1150 VARNUM ST NE, EMERGENCY DEPT., WASHINGTON DC 20017. This licensed professional license is current. The license was granted 06/24/1987 and expired on 12/31/2014.

District of Columbia

Department of Consumer and Regulatory Affairs

KIM A. BULLOCK
Medicine - Medicine And Surgery
License number
MD16680
Date granted
06/24/1987
Date expires
12/31/2014
Class
Medicine - Medicine And Surgery
Status
Active
Address
PROVIDENCE HOSPITAL, 1150 VARNUM ST NE, EMERGENCY DEPT., WASHINGTON DC 20017
dclicensing.com
ID 20158638
LAST UPDATED 2024-04-14 17:58:18 UTC

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