TRACI S HORNBECK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002262

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

HORNBECK

Business Name

TRACI S HORNBECK

Original Issue Date

07/15/2004

Effective Date

07/15/2004

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008