BENJAMIN ROBERT LOOMIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081575

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

ROBERT

Last Name

LOOMIS

Business Name

BENJAMIN ROBERT LOOMIS MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/30/2024