MARK D HORNBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

HORNBACH

Suffix

Business Name

MARK D HORNBACH MD

Original Issue Date

08/15/1996

Effective Date

08/15/1996

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020