EDWARD NICHOLAS NORTHRUP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160484

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

NICHOLAS

Last Name

NORTHRUP

Business Name

EDWARD NICHOLAS NORTHRUP MD

Original Issue Date

05/05/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023