EDWARD NICHOLAS NORTHRUP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

NICHOLAS

Last Name

NORTHRUP

Business Name

EDWARD NICHOLAS NORTHRUP MD

Original Issue Date

05/13/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023