LANNY S ODIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077639

License Status

ACTIVE

Business

First Name

LANNY S

Last Name

ODIN

Suffix

Business Name

LANNY S ODIN MD

Original Issue Date

08/13/1988

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2023