ERIC A ODESSEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115100

License Status

INACTIVE

Business

Title

First Name

ERIC

Middle

Last Name

ODESSEY

Business Name

ERIC A ODESSEY MD

Original Issue Date

01/12/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BINGHAMTON

State

Zip

13903

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/23/2011