THEODORE BERNARD HANDRUP JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

BERNARD

Last Name

HANDRUP

Suffix

Business Name

THEODORE BERNARD HANDRUP JR MD

Original Issue Date

01/01/1997

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023