DOUGLAS R NORDLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

NORDLI

Suffix

Business Name

DOUGLAS R NORDLI MD

Original Issue Date

03/01/2000

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023