DAVID LEE NORDAHL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****02

NOT RENEWED

N

DAVID LEE

NORDAHL

MD

DAVID LEE NORDAHL MD

02/09/1989

02/09/1989

07/31/2002

OAK PARK

IL

60302

COOK

II

N

04/05/2020