EDWARD JAY HORN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006591

License Status

CANCELLED

Business

First Name

EDWARD

Middle

JAY

Last Name

HORN

Suffix

Business Name

EDWARD JAY HORN OD

Original Issue Date

03/20/1979

Expiration Date

01/01/1997

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005