PATRICK ODIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Last Name

ODIA

Business Name

PATRICK ODIA MD

Original Issue Date

11/16/2018

Effective Date

11/16/2018

Expiration Date

09/30/2020

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021