DOUGLAS NORDLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Last Name

NORDLI

Business Name

DOUGLAS NORDLI MD

Original Issue Date

03/28/2023

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

32207

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023