BENJAMIN M HORNIK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

HORNIK

Business Name

BENJAMIN M HORNIK

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

07/31/2005

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006