SYDNEY NORDSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

SYDNEY

Last Name

NORDSTROM

Business Name

SYDNEY NORDSTROM

Original Issue Date

07/29/2021

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60654

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025