BRITTANY KALISSE ODOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

BRITTANY

Middle

KALISSE

Last Name

ODOM

Business Name

BRITTANY KALISSE ODOM MD

Original Issue Date

04/03/2020

Effective Date

04/03/2020

Expiration Date

07/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023