KELLY NICOLE O'DELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141396

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

NICOLE

Last Name

O'DELL

Business Name

KELLY NICOLE O'DELL MD

Original Issue Date

08/01/2016

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023