EDWARD JAY HORN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047056591

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

JAY

Last Name

HORN

Suffix

Business Name

EDWARD JAY HORN OD

Original Issue Date

06/12/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005