EDWARD JAY HORN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

JAY

Last Name

HORN

Suffix

Business Name

EDWARD JAY HORN OD

Original Issue Date

01/05/2000

Effective Date

02/17/2004

Expiration Date

03/31/2006

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006