CARROLL O LOOMIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043595

License Status

NOT RENEWED

Business

First Name

CARROLL O

Last Name

LOOMIS

Suffix

Business Name

CARROLL O LOOMIS MD

Original Issue Date

07/24/1970

Effective Date

07/24/1970

Expiration Date

07/31/2005

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/09/2006