KELLY NICOLE O'DELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063367

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

NICOLE

Last Name

O'DELL

Business Name

KELLY NICOLE O'DELL MD

Original Issue Date

06/30/2013

Effective Date

06/30/2013

Expiration Date

06/29/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014