EDWARD JAY HORN OD - Optometrist License in Illinois | # 047056591

EDWARD JAY HORN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047056591

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

JAY

Last Name

HORN

Suffix

OD

Business Name

EDWARD JAY HORN OD

Original Issue Date

06/12/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005