ANTHONY O ODIBO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

Last Name

ODIBO

Business Name

ANTHONY O ODIBO MD

Original Issue Date

04/28/2023

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023