ODIS JERRY MAYNARD MD - Medical Doctor License in Tennessee | # 036050470

ODIS JERRY MAYNARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050470

License Status

NOT RENEWED

Business

N

First Name

ODIS JERRY

Last Name

MAYNARD

Suffix

MD

Business Name

ODIS JERRY MAYNARD MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

State

TN

Ever Disciplined

N

LastModifiedDate

09/20/2006