DAVID DUSTON ODELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138368

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

DUSTON

Last Name

ODELL

Business Name

DAVID DUSTON ODELL MD

Original Issue Date

06/18/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2023