J N K ODIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065937

License Status

NOT RENEWED

Business

First Name

J N K

Last Name

ODIM

Business Name

J N K ODIM

Original Issue Date

01/18/1983

Effective Date

01/18/1983

Expiration Date

07/31/1987

City

DECATUR

State

Zip

30030

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006