DAVID S LOOYENGA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****69

NOT RENEWED

N

MD

DAVID

S

LOOYENGA

DAVID S LOOYENGA MD

09/08/1998

09/08/1998

07/31/2008

MOKENA

IL

60448

WILL

II III IV V

N

04/05/2020