CHRISTOPHER JOE NORTHUP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

JOE

Last Name

NORTHUP

Business Name

CHRISTOPHER JOE NORTHUP MD

Original Issue Date

06/14/2021

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

WEST CHESTER

State

Zip

45069

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023