REGINALD ODOM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021471

License Status

ACTIVE

Business

First Name

REGINALD

Last Name

ODOM

Business Name

REGINALD ODOM

Original Issue Date

01/07/1989

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2024