The holder whose full name is Bomba, Bradford Joseph,come from Bloomington IN,hold the Medical Residency Permit license(NO.11004720A) which status is Expired.
| Name | Bomba, Bradford Joseph |
|---|---|
| License Number | 11004720A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Bloomington |
| State | IN |