JULIE GERETTE VANDERBILT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

JULIE GERETTE

Last Name

VANDERBILT

Suffix

Business Name

JULIE GERETTE VANDERBILT MD

Original Issue Date

09/07/1995

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023