MIRANDA BERGER NORDELO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

MIRANDA

Last Name

BERGER NORDELO

Business Name

MIRANDA BERGER NORDELO MD

Original Issue Date

03/05/2026

Effective Date

03/05/2026

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026