RANDALL R ODEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066438

License Status

NOT RENEWED

Business

First Name

RANDALL R

Last Name

ODEM

Suffix

Business Name

RANDALL R ODEM MD

Original Issue Date

04/20/1983

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

11/30/2023