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Glenn
Glenn
Loomis
Medical doctor
Murrieta, United States
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Florida Health Care Practitioner Data Portal
Full name
Glenn Loomis
Job Title
Medical Doctor
Location
Murrieta, CA, USA
LIC ID
149266
Current License Expiration Date
31/01/2025
Original Date
18/08/2020
Professional Rank Code
ME
Effective Date
18/08/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
30 82 Nassau St.
Practice Location Address Line 2
#61392
Practice Location Address City
NY CITY
Practice Location Address State
NY
Practice Location Address Zipcode
10038
Mode Code
NICA Exempt
Prescribing Indicator
N
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