DWIGHT W O DELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

DWIGHT W

Last Name

O DELL

Suffix

Business Name

DWIGHT W O DELL MD

Original Issue Date

06/14/1982

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

MOUNT PLEASANT

State

Zip

29466

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023