The holder whose full name is BLOOM, WILMA JEAN P,come from HARTFORD CITY IN,hold the Dietitian license(NO.37000296A) which status is Expired.
| Name | BLOOM, WILMA JEAN P |
|---|---|
| License Number | 37000296A |
| License Type | Dietitian |
| License Status | Expired |
| City | HARTFORD CITY |
| State | IN |