STEWART IRA ODELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

STEWART IRA

Last Name

ODELL

Suffix

Business Name

STEWART IRA ODELL MD

Original Issue Date

01/01/1997

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021