GINA MARIE VERNACE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

GINA

Middle

MARIE

Last Name

VERNACE

Business Name

GINA MARIE VERNACE DO

Original Issue Date

05/10/2019

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023