Person Information

Name:HEIDI M LOOMIS

Address Information

Address(city state zipcode):Boalsburg PA16827

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005514
Profession:NursingStatus:Agreement Terminated
Issue Date:9/11/2006Expires:10/31/2013Last Renewed:10/13/2011

Prerequisite Information

Licensee:HEMMER, THOMAS MELVILLERelationship:Collaborating Physician
Type:Osteopathic Physician and SurgeonNumber:OS012890Status:Active
Date of Association:9/11/2006Date of Expiration:1/31/2013

Licensee:LOOMIS, HEIDI MRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:VP002195BStatus:Active
Date of Association:Date of Expiration:

License CSR Information

Drug Schedule 2:YDrug Schedule 3:YDrug Schedule 4:YDrug Schedule 5:

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