LUKE ALAN MITTELSTAEDT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082110

License Status

ACTIVE

Business

First Name

LUKE

Middle

ALAN

Last Name

MITTELSTAEDT

Business Name

LUKE ALAN MITTELSTAEDT

Original Issue Date

06/20/2023

Effective Date

06/20/2023

Expiration Date

06/19/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/18/2023