GINA ROSE BATHURST NORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

GINA

Middle

ROSE BATHURST

Last Name

NORD

Business Name

GINA ROSE BATHURST NORD MD

Original Issue Date

03/02/2015

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023