JULIE JELAINE ANDERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

JULIE

Middle

JELAINE

Last Name

ANDERSON

Business Name

JULIE JELAINE ANDERSON DO

Original Issue Date

06/29/2017

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021