The holder whose full name is Bloom, Martha J.,come from Fort Wayne IN,hold the Radiologic Technologist license(NO.XT002383) which status is Expired.
| Name | Bloom, Martha J. |
|---|---|
| License Number | XT002383 |
| License Type | Radiologic Technologist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |