PAUL CORNELIUS VANDERBILT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039153

License Status

NOT RENEWED

Business

First Name

PAUL CORNELIUS

Last Name

VANDERBILT

Suffix

Business Name

PAUL CORNELIUS VANDERBILT MD

Original Issue Date

06/30/1964

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021