SALORA DALE LOOMIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

SALORA DALE

LOOMIS

MD

SALORA DALE LOOMIS MD

01/01/1997

08/12/2008

07/31/2011

GENEVA

IL

60134

KANE

II III IV V

N

04/05/2020