MARY B NORDSTROM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082720

License Status

INACTIVE

Business

First Name

MARY B

Last Name

NORDSTROM

Suffix

Business Name

MARY B NORDSTROM MD

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

07/31/1993

City

CHESAPEAKE

State

Zip

23320

Ever Disciplined

LastModifiedDate

04/17/2025