EARL R HORNBAKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091452

License Status

INACTIVE

Business

First Name

EARL R

Last Name

HORNBAKE

Suffix

Business Name

EARL R HORNBAKE MD

Original Issue Date

07/29/1995

Effective Date

07/29/1995

Expiration Date

07/31/1996

City

GREAT NECK

State

Zip

11021

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/07/2008