JULIE M HORN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

NOT RENEWED

Business

First Name

JULIE M

Last Name

HORN

Business Name

JULIE M HORN

Original Issue Date

08/14/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

08/12/2008