BLAKE HORIO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

BLAKE

Last Name

HORIO

Business Name

BLAKE HORIO

Original Issue Date

02/18/1999

Effective Date

02/18/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020