MARY MENNELLA NORDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

MARY

Middle

MENNELLA

Last Name

NORDIN

Suffix

Business Name

MARY MENNELLA NORDIN MD

Original Issue Date

04/29/1987

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023