RANDHIRJI P ODEDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

RANDHIRJI

Middle

Last Name

ODEDRA

Business Name

RANDHIRJI P ODEDRA MD

Original Issue Date

04/16/2008

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014