MARY A HORAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

MARY A

Last Name

HORAN

Suffix

Business Name

MARY A HORAN MD

Original Issue Date

08/18/1992

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023