License holder summary

STANLEY WAYNE BLOM is a Psychology - Master's Ltd. Psychologist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 03/22/1990 and expired on 08/31/1992.

Department of Licensing and Regulatory Affairs

Board of Medicine

STANLEY WAYNE BLOM
Psychology - Master's Ltd. Psychologist
License number
6301007118
Date granted
03/22/1990
Date expires
08/31/1992
Class
Psychology - Master's Ltd. Psychologist
Status
Lapsed
Address
michiganmedical.net
ID 39320317
LAST UPDATED 2026-04-09 12:19:46 UTC

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