GERALD DAVID HORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

DAVID

Last Name

HORN

Suffix

Business Name

GERALD DAVID HORN MD

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020