COLIN MAGNUSON O'DEA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155202

License Status

ACTIVE

Business

Title

First Name

COLIN

Middle

MAGNUSON

Last Name

O'DEA

Business Name

COLIN MAGNUSON O'DEA MD

Original Issue Date

01/04/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SAN ANTONIO

State

Zip

78210

Ever Disciplined

LastModifiedDate

04/06/2023