KELLY NICOLE O'DELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

NICOLE

Last Name

O'DELL

Business Name

KELLY NICOLE O'DELL MD

Original Issue Date

08/01/2016

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023