ANNA NOEL NORD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

ANNA

Middle

NOEL

Last Name

NORD

Business Name

ANNA NOEL NORD

Original Issue Date

06/21/2017

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024