ROBERT B NORDSTROM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105375

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

NORDSTROM

Business Name

ROBERT B NORDSTROM

Original Issue Date

08/07/2001

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/23/2023