ANDREA MARIE O'DANIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150855

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

MARIE

Last Name

O'DANIEL

Business Name

ANDREA MARIE O'DANIEL MD

Original Issue Date

09/25/2019

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40222

Ever Disciplined

LastModifiedDate

08/01/2023