MARY B NORDSTROM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024346

License Status

EXPIRED

Business

First Name

MARY B

Last Name

NORDSTROM

Suffix

Business Name

MARY B NORDSTROM MD

Original Issue Date

07/01/1989

Effective Date

07/01/1989

Expiration Date

06/25/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006