JENNIFER K HORNBACK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103046

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HORNBACK

Business Name

JENNIFER K HORNBACK

Original Issue Date

07/13/2000

Effective Date

07/13/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006