BRITTANY KALISSE ODOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152382

License Status

NOT RENEWED

Business

Title

First Name

BRITTANY

Middle

KALISSE

Last Name

ODOM

Business Name

BRITTANY KALISSE ODOM MD

Original Issue Date

03/30/2020

Effective Date

03/30/2020

Expiration Date

07/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/30/2023