LISA JEAN HORN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

LISA

Middle

JEAN

Last Name

HORN

Suffix

DPM

Business Name

LISA JEAN HORN DPM

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

01/31/2003

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006