EARL R HORNBAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

EARL R

Last Name

HORNBAKE

Suffix

Business Name

EARL R HORNBAKE MD

Original Issue Date

01/31/1996

Effective Date

01/31/1996

Expiration Date

07/31/1996

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006