JACK PETER HORBAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

JACK PETER

Last Name

HORBAL

Suffix

DDS

Business Name

JACK PETER HORBAL DDS

Original Issue Date

10/19/1981

Effective Date

07/19/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022