JACQUELINE NICOLE HORST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

NICOLE

Last Name

HORST

Business Name

JACQUELINE NICOLE HORST MD

Original Issue Date

05/12/2016

Effective Date

08/21/2017

Expiration Date

09/30/2020

City

CHICAGAO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021