ANDREA MARIE O'DANIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

MARIE

Last Name

O'DANIEL

Business Name

ANDREA MARIE O'DANIEL MD

Original Issue Date

10/17/2019

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40222

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023