ODIN ELMER ANDRES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037898

License Status

NOT RENEWED

Business

First Name

ODIN ELMER

Last Name

ANDRES

Suffix

Business Name

ODIN ELMER ANDRES DO

Original Issue Date

09/13/1962

Effective Date

09/13/1962

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006