SCOTT M NORDLICHT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

SCOTT M

Last Name

NORDLICHT

Suffix

Business Name

SCOTT M NORDLICHT MD

Original Issue Date

08/07/1990

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017