Utah
Division of Occupational and Professional Licensing
ERIC EDGERTON BLOM
Physician - Physician & Surgeon
License number
4983695-1205
Date granted
10/29/2001
Date expires
01/31/2006
Class
Physician - Physician & Surgeon
Status
Expired
Address
PUEBLO WEST, CO 810077067
utahlicensing.org
ID 29923414
LAST UPDATED 2026-03-30 18:27:40 UTC
LAST UPDATED 2026-03-30 18:27:40 UTC
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