ERICA NICOLE HORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

ERICA

Middle

NICOLE

Last Name

HORN

Business Name

ERICA NICOLE HORN MD

Original Issue Date

12/21/2017

Effective Date

12/21/2017

Expiration Date

09/30/2020

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021