ISAAC A LOOSE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****75

NOT RENEWED

N

ISAAC A

LOOSE

MD

ISAAC A LOOSE MD

09/15/1995

09/15/1995

07/31/1999

ELGIN

IL

60123

KANE

II III IV V

N

09/26/2006