LUKE NIKOLAJ LAURIDSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

LUKE

Middle

NIKOLAJ

Last Name

LAURIDSEN

Business Name

LUKE NIKOLAJ LAURIDSEN MD

Original Issue Date

11/21/2023

Effective Date

11/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/21/2023