JENNIFER K HORNBACK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HORNBACK

Business Name

JENNIFER K HORNBACK

Original Issue Date

08/02/2000

Effective Date

08/02/2000

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006