RITA VIDA ODEGAARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089815

License Status

NOT RENEWED

Business

First Name

RITA

Middle

VIDA

Last Name

ODEGAARD

Suffix

Business Name

RITA VIDA ODEGAARD MD

Original Issue Date

10/15/1994

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017