CHRISTOPHER LIEDKE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Last Name

LIEDKE

Business Name

CHRISTOPHER LIEDKE DO

Original Issue Date

01/21/2025

Effective Date

01/21/2025

Expiration Date

07/31/2026

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2025