ODIS JERRY MAYNARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050470

License Status

NOT RENEWED

Business

First Name

ODIS JERRY

Last Name

MAYNARD

Suffix

Business Name

ODIS JERRY MAYNARD MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

City

NASHVILLE

State

Zip

37203

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006